Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.13 / $428.83 / $728.60	Facility		$258.13	$428.83	$728.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.17 / $208.17 / $208.17	Professional		$208.17	$208.17	$208.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.66 / $171.66 / $171.66	Facility		$171.66	$171.66	$171.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $71.45 / $89.31	Professional		$71.45	$71.45	$89.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $50.33 / $77.05	Facility		$40.86	$50.33	$77.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $248.56	Professional		$62.14	$62.14	$248.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.49 / $229.92 / $248.56	Facility		$217.49	$229.92	$248.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $93.21 / $248.56	Professional		$55.93	$93.21	$248.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $50.33 / $113.72	Facility		$41.01	$50.33	$113.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $62.14 / $170.89	Professional		$59.03	$62.14	$170.89
United Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $124.28 / $187.49	Professional		$27.96	$124.28	$187.49