Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $208.93 / $1,659.59	Facility		$83.18	$208.93	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $426.58	Professional		$114.82	$138.04	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $199.53	Professional		$93.33	$93.33	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $645.65	Facility		$141.25	$141.25	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $457.09	Professional		$138.04	$141.25	$457.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $549.54 / $831.76	Facility		$501.19	$549.54	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $398.11 / $676.08	Facility		$114.82	$398.11	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $199.53	Professional		$93.33	$128.82	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $263.03 / $426.58	Professional		$85.11	$263.03	$426.58