Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.52 / $888.38 / $1,509.38	Facility		$190.52	$888.38	$1,509.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.25 / $431.25 / $827.73	Professional		$431.25	$431.25	$827.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.60 / $355.60 / $355.60	Facility		$355.60	$355.60	$355.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $94.39 / $217.29	Professional		$94.39	$94.39	$217.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.69 / $616.69 / $616.69	Facility		$616.69	$616.69	$616.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $414.51	Professional		$128.72	$128.72	$414.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.55 / $495.61 / $830.35	Facility		$450.55	$495.61	$830.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $289.64 / $289.64	Professional		$115.86	$289.64	$289.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.60 / $495.61 / $830.35	Facility		$355.60	$495.61	$830.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $217.29 / $354.01	Professional		$94.39	$217.29	$354.01
United Facility/Professional Professional Modifier Low / Median / High Price $181.14 / $317.83 / $388.41	Professional		$181.14	$317.83	$388.41