Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $614.46 / $774.35	Facility		$280.50	$614.46	$774.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $215.77 / $215.77	Professional		$59.15	$215.77	$215.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.95 / $177.95 / $177.95	Facility		$177.95	$177.95	$177.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $73.93 / $92.41	Professional		$47.19	$73.93	$92.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Facility		$58.40	$58.40	$58.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $257.64	Professional		$64.41	$64.41	$257.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.44 / $247.98 / $415.46	Facility		$225.44	$247.98	$415.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $144.91 / $568.75	Professional		$57.97	$144.91	$568.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $58.40 / $225.44	Facility		$58.40	$58.40	$225.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $83.27 / $93.05	Professional		$64.41	$83.27	$93.05
United Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $128.82 / $194.34	Professional		$40.50	$128.82	$194.34