Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $356.36 / $605.47	Facility		$76.43	$356.36	$605.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $172.99 / $197.99	Professional		$67.93	$172.99	$197.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.66 / $142.66 / $142.66	Facility		$142.66	$142.66	$142.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $59.47 / $74.34	Professional		$29.77	$59.47	$74.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $55.88 / $55.88	Facility		$55.88	$55.88	$55.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $51.64 / $206.56	Professional		$51.64	$51.64	$206.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.74 / $198.81 / $333.08	Facility		$180.74	$198.81	$333.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $116.19 / $116.19	Professional		$46.48	$116.19	$116.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $55.88 / $180.74	Facility		$55.88	$55.88	$180.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $51.64 / $74.59	Professional		$51.63	$51.64	$74.59
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $103.28 / $155.81	Professional		$32.47	$103.28	$155.81