Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $501.19	Facility		$309.03	$309.03	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $213.80	Professional		$52.48	$61.66	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $93.33	Professional		$46.77	$74.13	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $64.57	Facility		$58.88	$58.88	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $257.04	Professional		$64.57	$64.57	$257.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $245.47 / $416.87	Facility		$223.87	$245.47	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $144.54	Professional		$120.23	$144.54	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $83.18	Professional		$46.77	$64.57	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $128.82 / $194.98	Professional		$42.66	$128.82	$194.98