Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.95 / $554.63 / $942.34	Facility		$118.95	$554.63	$942.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.24 / $269.24 / $516.78	Professional		$269.24	$269.24	$516.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.02 / $222.02 / $222.02	Facility		$222.02	$222.02	$222.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $92.10 / $115.12	Professional		$57.72	$92.10	$115.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $58.53 / $58.53	Facility		$58.53	$58.53	$58.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $80.37 / $321.48	Professional		$80.37	$80.37	$321.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.30 / $309.42 / $518.22	Facility		$281.30	$309.42	$518.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $180.83 / $180.83	Professional		$72.33	$180.83	$180.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $58.53 / $281.30	Facility		$58.53	$58.53	$281.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $103.86 / $116.07	Professional		$80.37	$103.86	$116.07
United Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $160.74 / $242.49	Professional		$50.50	$160.74	$242.49