Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $292.56 / $677.00	Facility		$51.04	$292.56	$677.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $127.48 / $322.20	Professional		$90.43	$127.48	$322.20
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 $161.68 / $292.52 / $380.31	Professional		$161.68	$292.52	$380.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.78 / $120.78 / $460.75	Facility		$120.78	$120.78	$460.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $311.49 / $674.41	Professional		$259.58	$311.49	$674.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.25 / $434.70 / $648.15	Professional		$356.25	$434.70	$648.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.78 / $144.94 / $466.44	Facility		$120.78	$144.94	$466.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $354.90 / $619.24	Professional		$138.36	$354.90	$619.24
United Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $315.00 / $633.49	Professional		$119.39	$315.00	$633.49