Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $1,288.25	Facility		$158.49	$758.58	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $354.81	Professional		$85.11	$102.33	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $123.03 / $151.36	Professional		$46.77	$123.03	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $107.15	Facility		$77.62	$77.62	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $426.58	Professional		$107.15	$107.15	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $389.05 / $426.58	Facility		$354.81	$389.05	$426.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $239.88	Professional		$131.83	$239.88	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $107.15	Professional		$46.77	$95.50	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $213.80 / $323.59	Professional		$40.74	$213.80	$323.59