Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $540.07 / $917.60	Facility		$115.83	$540.07	$917.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.17 / $262.17 / $503.21	Professional		$262.17	$262.17	$503.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.20 / $216.20 / $216.20	Facility		$216.20	$216.20	$216.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $90.03 / $112.54	Professional		$64.06	$90.03	$112.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $41.48 / $41.48	Facility		$41.48	$41.48	$41.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $78.26 / $313.04	Professional		$78.26	$78.26	$313.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.91 / $301.30 / $504.76	Facility		$273.91	$301.30	$504.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $176.09 / $176.09	Professional		$70.43	$176.09	$176.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $41.48 / $273.91	Facility		$41.48	$41.48	$273.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $101.17 / $113.06	Professional		$78.26	$101.17	$113.06
United Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $156.52 / $236.13	Professional		$49.20	$156.52	$236.13