Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $389.05 / $660.69	Facility		$81.28	$389.05	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $181.97	Professional		$42.66	$51.29	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $77.62	Professional		$61.66	$61.66	$77.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $56.23 / $87.10	Facility		$53.70	$56.23	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $218.78	Professional		$53.70	$53.70	$218.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $199.53 / $218.78	Facility		$190.55	$199.53	$218.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $123.03	Professional		$81.28	$123.03	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $87.10	Facility		$56.23	$56.23	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $53.70	Professional		$48.98	$48.98	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $109.65 / $162.18	Professional		$24.55	$109.65	$162.18