Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.65 / $541.45 / $721.28	Facility		$419.65	$541.45	$721.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.55 / $578.92 / $764.18	Professional		$303.55	$578.92	$764.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $465.67	Facility		$465.67	$465.67	$465.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $465.67 / $496.43	Professional		$339.94	$465.67	$496.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.72 / $322.72 / $322.72	Facility		$322.72	$322.72	$322.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $421.03 / $636.87 / $1,005.59	Professional		$421.03	$636.87	$1,005.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.65 / $472.65 / $653.14	Facility		$472.65	$472.65	$653.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.93 / $653.14 / $1,609.25	Professional		$492.93	$653.14	$1,609.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.72 / $322.72 / $465.67	Facility		$322.72	$322.72	$465.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $465.67 / $569.04 / $801.01	Professional		$465.67	$569.04	$801.01
United Facility/Professional Professional Modifier Low / Median / High Price $398.66 / $764.11 / $996.66	Professional		$398.66	$764.11	$996.66