Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.43 / $1,027.08 / $1,736.97	Facility		$222.43	$1,027.08	$1,736.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.47 / $503.47 / $966.37	Professional		$503.47	$503.47	$966.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.18 / $415.18 / $415.18	Facility		$415.18	$415.18	$415.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $110.18 / $237.46	Professional		$110.18	$110.18	$237.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $719.96 / $719.96 / $719.96	Facility		$719.96	$719.96	$719.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $150.29 / $483.93	Professional		$150.29	$150.29	$483.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.02 / $578.62 / $969.42	Facility		$526.02	$578.62	$969.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $338.15 / $338.15	Professional		$135.26	$338.15	$338.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.18 / $578.62 / $969.42	Facility		$415.18	$578.62	$969.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $150.29 / $237.46	Professional		$110.18	$150.29	$237.46
United Facility/Professional Professional Modifier Low / Median / High Price $292.51 / $371.08 / $450.87	Professional		$292.51	$371.08	$450.87