Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.02 / $1,198.43 / $2,036.16	Facility		$257.02	$1,198.43	$2,036.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.76 / $581.76 / $1,116.63	Professional		$581.76	$581.76	$1,116.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.74 / $479.74 / $479.74	Facility		$479.74	$479.74	$479.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $121.98 / $262.83	Professional		$121.98	$121.98	$262.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.92 / $831.92 / $831.92	Facility		$831.92	$831.92	$831.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $173.66 / $559.19	Professional		$173.66	$173.66	$559.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.80 / $668.59 / $1,072.84	Facility		$607.80	$668.59	$1,072.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $390.74 / $390.74	Professional		$156.29	$390.74	$390.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $479.74 / $668.59 / $1,072.84	Facility		$479.74	$668.59	$1,072.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $166.33 / $262.83	Professional		$121.98	$166.33	$262.83
United Facility/Professional Professional Modifier Low / Median / High Price $323.73 / $410.68 / $520.98	Professional		$323.73	$410.68	$520.98