Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $489.78 / $758.58	Facility		$269.15	$489.78	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $208.93	Professional		$50.12	$57.54	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $89.13	Professional		$70.79	$70.79	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $61.66 / $281.84	Facility		$45.71	$61.66	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $199.53	Professional		$61.66	$61.66	$199.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $229.09 / $251.19	Facility		$218.78	$229.09	$251.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $141.25	Professional		$93.33	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $114.82	Facility		$40.74	$51.29	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $61.66	Professional		$58.88	$58.88	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $123.03 / $186.21	Professional		$28.18	$123.03	$186.21