Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $97.85 / $139.63	Professional		$97.85	$97.85	$139.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.22 / $386.22 / $386.22	Facility		$386.22	$386.22	$386.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $83.17 / $117.53	Professional		$49.46	$83.17	$117.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $36.53 / $139.93	Facility		$36.53	$36.53	$139.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $95.10 / $205.32	Professional		$78.54	$95.10	$205.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $133.65 / $210.09	Professional		$111.25	$133.65	$210.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $43.84 / $386.22	Facility		$36.53	$43.84	$386.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $111.25 / $197.40	Professional		$42.60	$111.25	$197.40
United Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $85.06 / $205.21	Professional		$37.61	$85.06	$205.21