Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.11 / $536.75 / $911.96	Facility		$115.11	$536.75	$911.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $260.56 / $298.20	Professional		$49.63	$260.56	$298.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $214.88 / $214.88	Facility		$214.88	$214.88	$214.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $89.21 / $111.51	Professional		$27.59	$89.21	$111.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $56.65 / $56.65	Facility		$56.65	$56.65	$56.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $311.12	Professional		$77.78	$77.78	$311.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.56 / $287.79 / $311.12	Facility		$205.56	$287.79	$311.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $175.01 / $175.01	Professional		$70.00	$175.01	$175.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $56.65 / $214.88	Facility		$56.65	$56.65	$214.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $54.50 / $77.78	Professional		$48.77	$54.50	$77.78
United Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $155.56 / $234.68	Professional		$23.72	$155.56	$234.68