Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.58 / $443.45 / $910.39	Facility		$116.58	$443.45	$910.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $37.34 / $263.88	Professional		$33.14	$37.34	$263.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.60 / $217.60 / $217.60	Facility		$217.60	$217.60	$217.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $90.86 / $113.58	Professional		$20.87	$90.86	$113.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $39.39 / $39.39	Facility		$39.39	$39.39	$39.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $78.77 / $315.08	Professional		$78.77	$78.77	$315.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $291.45 / $315.08	Facility		$154.60	$291.45	$315.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $177.23 / $177.23	Professional		$70.89	$177.23	$177.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $39.39 / $183.06	Facility		$39.39	$39.39	$183.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $78.77	Professional		$36.69	$36.69	$78.77
United Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $157.54 / $237.67	Professional		$17.84	$157.54	$237.67