Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $794.33	Facility		$275.42	$501.19	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $61.66 / $213.80	Professional		$60.26	$61.66	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $93.33	Professional		$74.13	$74.13	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $64.57 / $288.40	Facility		$33.11	$64.57	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $213.80	Professional		$64.57	$64.57	$213.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $245.47 / $257.04	Facility		$239.88	$245.47	$257.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $144.54	Professional		$97.72	$144.54	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $48.98 / $117.49	Facility		$33.11	$48.98	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $64.57	Professional		$61.66	$61.66	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $128.82 / $194.98	Professional		$28.84	$128.82	$194.98