Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $419.59 / $865.19	Facility		$310.97	$419.59	$865.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $250.78 / $287.01	Professional		$66.56	$250.78	$287.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.81 / $206.81 / $206.81	Facility		$206.81	$206.81	$206.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $85.90 / $107.38	Professional		$51.73	$85.90	$107.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $54.52 / $54.52	Facility		$54.52	$54.52	$54.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $74.86 / $299.44	Professional		$74.86	$74.86	$299.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.01 / $276.98 / $407.88	Facility		$262.01	$276.98	$407.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $154.04 / $369.68	Professional		$67.37	$154.04	$369.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $54.52 / $206.81	Facility		$54.52	$54.52	$206.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $92.99 / $205.87	Professional		$74.86	$92.99	$205.87
United Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $149.72 / $225.87	Professional		$45.89	$149.72	$225.87