Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $207.62 / $427.72	Facility		$38.50	$207.62	$427.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $207.63 / $237.63	Professional		$57.04	$207.63	$237.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.23 / $171.23 / $171.23	Facility		$171.23	$171.23	$171.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $71.45 / $89.31	Professional		$45.38	$71.45	$89.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $52.14 / $52.14	Facility		$52.14	$52.14	$52.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $61.98 / $247.92	Professional		$61.98	$61.98	$247.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.93 / $238.62 / $399.82	Facility		$216.93	$238.62	$399.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $139.46 / $139.46	Professional		$55.78	$139.46	$139.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $52.14 / $216.93	Facility		$52.14	$52.14	$216.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $61.98 / $80.13	Professional		$61.98	$61.98	$80.13
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $123.96 / $153.04	Professional		$38.97	$123.96	$153.04