Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.29 / $1,195.05 / $2,030.42	Facility		$256.29	$1,195.05	$2,030.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.12 / $580.12 / $1,113.48	Professional		$580.12	$580.12	$1,113.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.38 / $478.38 / $478.38	Facility		$478.38	$478.38	$478.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $109.09 / $235.41	Professional		$109.09	$109.09	$235.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $829.57 / $829.57 / $829.57	Facility		$829.57	$829.57	$829.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $173.17 / $557.61	Professional		$173.17	$173.17	$557.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.09 / $666.70 / $960.23	Facility		$606.09	$666.70	$960.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.85 / $389.63 / $389.63	Professional		$155.85	$389.63	$389.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.38 / $666.70 / $960.23	Facility		$478.38	$666.70	$960.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $173.18 / $235.41	Professional		$109.09	$173.18	$235.41
United Facility/Professional Professional Modifier Low / Median / High Price $251.10 / $346.34 / $519.51	Professional		$251.10	$346.34	$519.51