Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $489.78 / $851.14	Facility		$102.33	$489.78	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $229.09	Professional		$54.95	$64.57	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Professional		$79.43	$79.43	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $229.09	Facility		$36.31	$36.31	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $275.42	Professional		$67.61	$125.89	$275.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $257.04 / $275.42	Facility		$239.88	$257.04	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $154.88	Professional		$120.23	$154.88	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $77.62	Professional		$67.61	$67.61	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $138.04 / $208.93	Professional		$36.31	$138.04	$208.93