Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.47 / $463.81 / $788.03	Facility		$99.47	$463.81	$788.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $225.15 / $432.16	Professional		$225.15	$225.15	$432.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.68 / $185.68 / $185.68	Facility		$185.68	$185.68	$185.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $77.23 / $96.54	Professional		$39.75	$77.23	$96.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $72.73 / $72.73	Facility		$72.73	$72.73	$72.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $268.83	Professional		$67.20	$67.20	$268.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.23 / $258.76 / $433.57	Facility		$235.23	$258.76	$433.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $151.22 / $151.22	Professional		$60.49	$151.22	$151.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $72.73 / $235.23	Facility		$72.73	$72.73	$235.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $86.90 / $97.10	Professional		$67.20	$86.90	$97.10
United Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $134.41 / $202.79	Professional		$42.25	$134.41	$202.79