Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $383.28 / $651.21	Facility		$82.20	$383.28	$651.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.06 / $186.06 / $357.12	Professional		$186.06	$186.06	$357.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.43 / $153.43 / $153.43	Facility		$153.43	$153.43	$153.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $64.02 / $80.02	Professional		$64.02	$64.02	$80.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.79 / $57.79 / $94.50	Facility		$57.79	$57.79	$94.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $55.54 / $222.16	Professional		$55.54	$55.54	$222.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.39 / $205.50 / $222.16	Facility		$194.39	$205.50	$222.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $83.31 / $222.16	Professional		$49.99	$83.31	$222.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.79 / $57.79 / $194.39	Facility		$57.79	$57.79	$194.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $55.54 / $152.74	Professional		$52.76	$55.54	$152.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $111.08 / $167.58	Professional		$24.99	$111.08	$167.58