Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $329.93 / $560.55	Facility		$70.76	$329.93	$560.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $160.16 / $183.30	Professional		$39.00	$160.16	$183.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.09 / $132.09 / $132.09	Facility		$132.09	$132.09	$132.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $54.93 / $68.66	Professional		$31.76	$54.93	$68.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Facility		$34.82	$34.82	$34.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $47.81 / $191.24	Professional		$47.81	$47.81	$191.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.34 / $176.90 / $260.48	Facility		$167.34	$176.90	$260.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $107.57 / $427.50	Professional		$43.03	$107.57	$427.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $34.82 / $132.09	Facility		$34.82	$34.82	$132.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $47.81 / $61.86	Professional		$47.81	$47.81	$61.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $95.62 / $144.25	Professional		$22.85	$95.62	$144.25