Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.02 / $988.26 / $1,671.32	Facility		$214.02	$988.26	$1,671.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.44 / $484.44 / $929.84	Professional		$484.44	$484.44	$929.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.50 / $399.50 / $399.50	Facility		$399.50	$399.50	$399.50
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 $692.75 / $692.75 / $692.75	Facility		$692.75	$692.75	$692.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $144.61 / $465.64	Professional		$144.61	$144.61	$465.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $506.14 / $556.75 / $804.00	Facility		$506.14	$556.75	$804.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $325.37 / $325.37	Professional		$130.15	$325.37	$325.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.50 / $556.75 / $804.00	Facility		$399.50	$556.75	$804.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $130.15 / $196.92	Professional		$91.48	$130.15	$196.92
United Facility/Professional Professional Modifier Low / Median / High Price $242.60 / $307.76 / $433.83	Professional		$242.60	$307.76	$433.83