Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.61 / $216.98 / $368.66	Facility		$130.61	$216.98	$368.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.94 / $219.94 / $219.94	Facility		$219.94	$219.94	$219.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $91.48 / $114.35	Professional		$91.48	$91.48	$114.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Facility		$105.33	$105.33	$105.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $238.83 / $318.44	Professional		$79.61	$238.83	$318.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.64 / $294.56 / $318.44	Facility		$278.64	$294.56	$318.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $119.41 / $179.12	Professional		$71.65	$119.41	$179.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Facility		$105.33	$105.33	$105.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $79.61 / $218.93	Professional		$75.63	$79.61	$218.93
United Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $234.84 / $355.49	Professional		$47.42	$234.84	$355.49