Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $444.49 / $755.20	Facility		$95.33	$444.49	$755.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $215.77 / $246.95	Professional		$59.28	$215.77	$246.95
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 $69.70 / $69.70 / $69.70	Facility		$69.70	$69.70	$69.70
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 / $144.91	Professional		$57.97	$144.91	$144.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $225.44	Facility		$69.70	$69.70	$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