Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,905.46 / $3,235.94	Facility		$389.05	$1,905.46	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $870.96	Professional		$213.80	$257.04	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $323.59	Professional		$147.91	$147.91	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $1,174.90	Facility		$263.03	$263.03	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $851.14	Professional		$245.47	$263.03	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,380.38	Facility		$912.01	$1,023.29	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $724.44 / $1,258.93	Facility		$208.93	$724.44	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $323.59	Professional		$147.91	$234.42	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $524.81 / $794.33	Professional		$158.49	$524.81	$794.33