Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $549.86 / $929.91	Facility		$245.00	$549.86	$929.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $269.54 / $308.48	Professional		$40.22	$269.54	$308.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.28 / $222.28 / $222.28	Facility		$222.28	$222.28	$222.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $92.51 / $115.64	Professional		$6.35	$92.51	$115.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $80.45 / $321.83	Professional		$80.45	$80.45	$321.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $297.70 / $321.83	Facility		$46.96	$297.70	$321.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $181.04 / $181.04	Professional		$72.41	$181.04	$181.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $11.13 / $80.45	Professional		$11.13	$11.13	$80.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $160.91 / $160.91	Professional		$5.41	$160.91	$160.91