Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.72 / $385.69 / $655.30	Facility		$82.72	$385.69	$655.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.23 / $187.23 / $359.37	Professional		$187.23	$187.23	$359.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.40 / $154.40 / $154.40	Facility		$154.40	$154.40	$154.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $64.43 / $80.54	Professional		$29.77	$64.43	$80.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $40.70	Facility		$40.70	$40.70	$40.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $55.89 / $223.56	Professional		$55.89	$55.89	$223.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.62 / $215.18 / $360.48	Facility		$195.62	$215.18	$360.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $125.75 / $125.75	Professional		$50.30	$125.75	$125.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $195.62	Facility		$40.70	$40.70	$195.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $72.25 / $80.73	Professional		$55.88	$72.25	$80.73
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $111.78 / $168.63	Professional		$35.14	$111.78	$168.63