Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $309.60 / $392.40	Facility		$84.53	$309.60	$392.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $34.03 / $93.11	Professional		$27.73	$34.03	$93.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.44 / $466.44 / $466.44	Facility		$466.44	$466.44	$466.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $88.93 / $112.84	Professional		$47.50	$88.93	$112.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $34.72 / $133.15	Facility		$34.72	$34.72	$133.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $91.23 / $195.25	Professional		$74.65	$91.23	$195.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $128.25 / $189.98	Professional		$101.25	$128.25	$189.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $41.66 / $466.44	Facility		$34.72	$41.66	$466.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $101.25 / $183.26	Professional		$40.94	$101.25	$183.26
United Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $90.43 / $181.85	Professional		$39.59	$90.43	$181.85