Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $330.64 / $1,003.78	Facility		$54.11	$330.64	$1,003.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $74.73 / $569.86	Professional		$57.21	$74.73	$569.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.12 / $316.12 / $316.12	Facility		$316.12	$316.12	$316.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $119.63 / $149.53	Professional		$60.16	$119.63	$149.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.76 / $95.76 / $147.06	Facility		$95.76	$95.76	$147.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $457.72	Professional		$114.43	$114.43	$457.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $423.39 / $457.72	Facility		$319.76	$423.39	$457.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $176.48 / $457.72	Professional		$102.99	$176.48	$457.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.12 / $400.51 / $457.72	Facility		$316.12	$400.51	$457.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $114.43 / $314.68	Professional		$75.94	$114.43	$314.68
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $228.86 / $345.26	Professional		$35.97	$228.86	$345.26