Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.73 / $525.48 / $1,309.33	Facility		$185.73	$525.48	$1,309.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.39 / $420.39 / $806.90	Professional		$420.39	$420.39	$806.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.67 / $346.67 / $346.67	Facility		$346.67	$346.67	$346.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $91.48 / $196.92	Professional		$91.48	$91.48	$196.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $601.16 / $601.16 / $601.16	Facility		$601.16	$601.16	$601.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $125.49 / $404.08	Professional		$125.49	$125.49	$404.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.22 / $483.14 / $804.00	Facility		$439.22	$483.14	$804.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $282.35 / $1,939.74	Professional		$112.94	$282.35	$1,939.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.67 / $483.14 / $804.00	Facility		$346.67	$483.14	$804.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $124.64 / $196.92	Professional		$91.48	$124.64	$196.92
United Facility/Professional Professional Modifier Low / Median / High Price $242.60 / $250.98 / $376.47	Professional		$242.60	$250.98	$376.47