Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $331.13 / $1,148.15	Facility		$162.18	$331.13	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $331.13	Professional		$79.43	$91.20	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $112.20 / $141.25	Professional		$46.77	$112.20	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $331.13	Facility		$48.98	$48.98	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $389.05	Professional		$95.50	$97.72	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $363.08 / $416.87	Facility		$346.74	$363.08	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $218.78	Professional		$131.83	$218.78	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $97.72	Professional		$46.77	$89.13	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $194.98 / $295.12	Professional		$40.74	$194.98	$295.12