Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $348.51 / $592.13	Facility		$74.73	$348.51	$592.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.18 / $169.18 / $324.72	Professional		$169.18	$169.18	$324.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.53 / $139.53 / $139.53	Facility		$139.53	$139.53	$139.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $57.82 / $72.28	Professional		$33.76	$57.82	$72.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $36.78	Facility		$36.78	$36.78	$36.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $50.50 / $202.00	Professional		$50.50	$50.50	$202.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $194.43 / $325.73	Facility		$176.75	$194.43	$325.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $113.63 / $113.63	Professional		$45.45	$113.63	$113.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $176.75	Facility		$36.78	$36.78	$176.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $50.50 / $65.28	Professional		$50.50	$50.50	$65.28
United Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $101.00 / $152.37	Professional		$31.75	$101.00	$152.37