Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.69 / $464.86 / $789.81	Facility		$99.69	$464.86	$789.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.66 / $225.66 / $433.13	Professional		$225.66	$225.66	$433.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.07 / $186.07 / $186.07	Facility		$186.07	$186.07	$186.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $77.23 / $96.54	Professional		$49.37	$77.23	$96.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $35.70 / $35.70	Facility		$35.70	$35.70	$35.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $67.36 / $269.44	Professional		$67.36	$67.36	$269.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.76 / $259.33 / $434.47	Facility		$235.76	$259.33	$434.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $151.56 / $151.56	Professional		$60.62	$151.56	$151.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $35.70 / $235.76	Facility		$35.70	$35.70	$235.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $87.08 / $97.31	Professional		$67.36	$87.08	$97.31
United Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $134.72 / $203.24	Professional		$42.35	$134.72	$203.24