Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.42 / $491.56 / $835.17	Facility		$105.42	$491.56	$835.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.62 / $238.62 / $458.01	Professional		$238.62	$238.62	$458.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.78 / $196.78 / $196.78	Facility		$196.78	$196.78	$196.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $81.77 / $102.22	Professional		$38.29	$81.77	$102.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $51.88 / $51.88	Facility		$51.88	$51.88	$51.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $71.23 / $284.92	Professional		$71.23	$71.23	$284.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.31 / $274.24 / $337.63	Facility		$249.31	$274.24	$337.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $160.27 / $160.27	Professional		$64.11	$160.27	$160.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $51.88 / $249.31	Facility		$51.88	$51.88	$249.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $67.67 / $71.23	Professional		$64.11	$67.67	$71.23
United Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $142.46 / $214.92	Professional		$32.90	$142.46	$214.92