Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.11 / $303.58 / $515.79	Facility		$65.11	$303.58	$515.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $147.37 / $282.86	Professional		$147.37	$147.37	$282.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.51 / $121.51 / $121.51	Facility		$121.51	$121.51	$121.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $50.39 / $62.98	Professional		$38.11	$50.39	$62.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $23.32 / $23.32	Facility		$23.32	$23.32	$23.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $43.99 / $175.96	Professional		$43.99	$43.99	$175.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $169.36 / $283.74	Facility		$153.97	$169.36	$283.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $98.98 / $98.98	Professional		$39.59	$98.98	$98.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $23.32 / $153.97	Facility		$23.32	$23.32	$153.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $56.87 / $63.55	Professional		$43.99	$56.87	$63.55
United Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $87.98 / $132.72	Professional		$27.66	$87.98	$132.72