Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.87 / $885.33 / $1,504.19	Facility		$189.87	$885.33	$1,504.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $429.77 / $824.91	Professional		$163.22	$429.77	$824.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.41 / $354.41 / $354.41	Facility		$354.41	$354.41	$354.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $88.58 / $196.66	Professional		$88.58	$88.58	$196.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $614.57 / $614.57 / $614.57	Facility		$614.57	$614.57	$614.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $128.29 / $413.09	Professional		$128.29	$128.29	$413.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.02 / $493.92 / $827.51	Facility		$449.02	$493.92	$827.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $288.64 / $288.64	Professional		$115.46	$288.64	$288.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.41 / $493.92 / $827.51	Facility		$354.41	$493.92	$827.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $196.66 / $352.80	Professional		$88.58	$196.66	$352.80
United Facility/Professional Professional Modifier Low / Median / High Price $174.58 / $316.76 / $387.08	Professional		$174.58	$316.76	$387.08