Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.73 / $788.38 / $1,333.29	Facility		$170.73	$788.38	$1,333.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $106.15 / $741.77	Professional		$61.14	$106.15	$741.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.67 / $318.67 / $318.67	Facility		$318.67	$318.67	$318.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $132.57 / $165.72	Professional		$35.29	$132.57	$165.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $106.82 / $187.81	Facility		$104.58	$106.82	$187.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $115.36 / $371.46	Professional		$115.36	$115.36	$371.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.76 / $444.14 / $744.09	Facility		$403.76	$444.14	$744.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $237.36 / $569.67	Professional		$103.82	$237.36	$569.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $108.44 / $386.46	Facility		$104.58	$108.44	$386.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $149.13 / $317.24	Professional		$115.35	$149.13	$317.24
United Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $230.72 / $348.07	Professional		$74.34	$230.72	$348.07