Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.14 / $211.09 / $1,371.31	Facility		$79.14	$211.09	$1,371.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.36 / $164.87 / $477.81	Professional		$146.36	$164.87	$477.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.02 / $394.02 / $394.02	Facility		$394.02	$394.02	$394.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $94.02 / $198.18	Professional		$94.02	$94.02	$198.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.06 / $283.89 / $683.27	Facility		$150.06	$283.89	$683.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $459.27	Professional		$142.63	$142.63	$459.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.04 / $699.04 / $827.51	Facility		$699.04	$699.04	$827.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $320.92 / $320.92	Professional		$128.37	$320.92	$320.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.02 / $683.27 / $827.51	Facility		$394.02	$683.27	$827.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $198.18 / $392.23	Professional		$94.02	$198.18	$392.23
United Facility/Professional Professional Modifier Low / Median / High Price $176.34 / $316.76 / $430.34	Professional		$176.34	$316.76	$430.34