Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.76 / $260.20 / $538.30	Facility		$97.76	$260.20	$538.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $74.62 / $208.17	Professional		$66.23	$74.62	$208.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.66 / $171.66 / $171.66	Facility		$171.66	$171.66	$171.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $71.45 / $89.31	Professional		$30.87	$71.45	$89.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.65 / $64.65 / $64.65	Facility		$64.65	$64.65	$64.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $186.42 / $248.56	Professional		$58.19	$186.42	$248.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.49 / $229.92 / $248.56	Facility		$217.49	$229.92	$248.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $119.72 / $287.32	Professional		$55.93	$119.72	$287.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.65 / $64.65 / $90.51	Facility		$64.65	$64.65	$90.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $79.19 / $170.89	Professional		$58.19	$79.19	$170.89
United Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $124.28 / $143.66	Professional		$35.90	$124.28	$143.66