Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.56 / $1,380.75 / $1,380.75	Facility		$390.56	$1,380.75	$1,380.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.39 / $402.39 / $402.39	Professional		$402.39	$402.39	$402.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Facility		$253.36	$253.36	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $292.22 / $402.39 / $563.35	Facility		$292.22	$402.39	$563.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $519.02 / $519.02 / $1,050.70	Professional		$519.02	$519.02	$1,050.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.55 / $456.62 / $3,495.87	Facility		$399.55	$456.62	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.12 / $313.93 / $342.47	Professional		$271.12	$313.93	$342.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.07 / $402.39 / $570.78	Facility		$298.07	$402.39	$570.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $325.33 / $342.47	Professional		$253.36	$325.33	$342.47
United Facility/Professional Professional Modifier Low / Median / High Price $372.59 / $372.59 / $755.92	Professional		$372.59	$372.59	$755.92