Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.53 / $991.04 / $1,809.80	Facility		$718.53	$991.04	$1,809.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $102.07 / $197.18	Professional		$90.37	$102.07	$197.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.57 / $432.57 / $432.57	Facility		$432.57	$432.57	$432.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $163.50 / $204.38	Professional		$82.33	$163.50	$204.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.04 / $126.84 / $201.30	Facility		$114.04	$126.84	$201.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $156.59 / $626.36	Professional		$156.59	$156.59	$626.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $491.96 / $579.38 / $626.36	Facility		$491.96	$579.38	$626.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $241.49 / $626.36	Professional		$140.93	$241.49	$626.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.57 / $548.07 / $626.36	Facility		$432.57	$548.07	$626.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.84 / $156.59 / $430.62	Professional		$116.84	$156.59	$430.62
United Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $313.18 / $472.46	Professional		$55.35	$313.18	$472.46