Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.92 / $899.54 / $1,528.35	Facility		$192.92	$899.54	$1,528.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.67 / $436.67 / $838.15	Professional		$436.67	$436.67	$838.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.10 / $360.10 / $360.10	Facility		$360.10	$360.10	$360.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $95.66 / $205.93	Professional		$95.66	$95.66	$205.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $624.44 / $624.44 / $624.44	Facility		$624.44	$624.44	$624.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $130.35 / $419.73	Professional		$130.35	$130.35	$419.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.22 / $501.85 / $840.78	Facility		$456.22	$501.85	$840.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $293.29 / $293.29	Professional		$117.32	$293.29	$293.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.10 / $501.85 / $840.78	Facility		$360.10	$501.85	$840.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $130.35 / $205.93	Professional		$95.66	$130.35	$205.93
United Facility/Professional Professional Modifier Low / Median / High Price $182.11 / $321.83 / $393.29	Professional		$182.11	$321.83	$393.29