Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.67 / $367.92 / $574.88	Facility		$203.67	$367.92	$574.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $164.25 / $187.98	Professional		$45.11	$164.25	$187.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.44 / $135.44 / $135.44	Facility		$135.44	$135.44	$135.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $56.58 / $70.73	Professional		$35.94	$56.58	$70.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $44.46 / $44.46	Facility		$44.46	$44.46	$44.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $196.12	Professional		$49.03	$49.03	$196.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.61 / $188.77 / $316.25	Facility		$171.61	$188.77	$316.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $110.32 / $110.32	Professional		$44.13	$110.32	$110.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $44.46 / $171.61	Facility		$44.46	$44.46	$171.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $49.03 / $63.38	Professional		$49.02	$49.03	$63.38
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $98.06 / $147.93	Professional		$30.82	$98.06	$147.93