Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.59 / $506.33 / $860.27	Facility		$108.59	$506.33	$860.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $245.79 / $471.77	Professional		$245.79	$245.79	$471.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.68 / $202.68 / $202.68	Facility		$202.68	$202.68	$202.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $38.11 / $38.11	Professional		$38.11	$38.11	$38.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $351.48 / $351.48 / $351.48	Facility		$351.48	$351.48	$351.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $236.25	Professional		$73.37	$73.37	$236.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.80 / $271.47 / $293.48	Facility		$256.80	$271.47	$293.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $165.08 / $165.08	Professional		$66.03	$165.08	$165.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.68 / $271.47 / $351.48	Facility		$202.68	$271.47	$351.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $201.77 / $201.77	Professional		$38.11	$201.77	$201.77
United Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $150.88 / $221.37	Professional		$75.44	$150.88	$221.37