Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.89 / $479.75 / $815.12	Facility		$102.89	$479.75	$815.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.89 / $232.89 / $447.01	Professional		$232.89	$232.89	$447.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $192.06 / $192.06	Facility		$192.06	$192.06	$192.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $80.12 / $100.15	Professional		$80.12	$80.12	$100.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $72.33 / $245.00	Facility		$72.33	$72.33	$245.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $69.52 / $278.08	Professional		$69.52	$69.52	$278.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.32 / $257.22 / $278.08	Facility		$243.32	$257.22	$278.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $104.28 / $278.08	Professional		$62.57	$104.28	$278.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $72.33 / $245.00	Facility		$72.33	$72.33	$245.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $69.52 / $191.18	Professional		$66.04	$69.52	$191.18
United Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $139.04 / $139.04	Professional		$31.28	$139.04	$139.04