Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $407.38 / $645.65	Facility		$229.09	$407.38	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.29 / $177.83	Professional		$48.98	$51.29	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $52.48 / $239.88	Facility		$27.54	$52.48	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $177.83	Professional		$52.48	$52.48	$177.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $208.93	Facility		$194.98	$204.17	$208.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $117.49	Professional		$79.43	$117.49	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $39.81 / $95.50	Facility		$27.54	$39.81	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $52.48	Professional		$50.12	$50.12	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $104.71 / $158.49	Professional		$23.99	$104.71	$158.49