Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.47 / $905.88 / $1,415.44	Facility		$501.47	$905.88	$1,415.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.84 / $825.00 / $1,395.21	Professional		$462.84	$825.00	$1,395.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.50 / $333.50 / $333.50	Facility		$333.50	$333.50	$333.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $126.00 / $157.50	Professional		$63.47	$126.00	$157.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.68 / $98.99 / $146.07	Facility		$79.68	$98.99	$146.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $120.72 / $482.88	Professional		$120.72	$120.72	$482.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.52 / $464.77 / $778.64	Facility		$422.52	$464.77	$778.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $248.39 / $596.12	Professional		$108.65	$248.39	$596.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.28 / $103.82 / $235.40	Facility		$80.28	$103.82	$235.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $156.06 / $331.98	Professional		$120.72	$156.06	$331.98
United Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $241.44 / $364.24	Professional		$76.44	$241.44	$364.24