Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $690.10 / $1,172.50	Facility		$148.00	$690.10	$1,172.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $335.00 / $335.00	Professional		$81.55	$335.00	$335.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.25 / $276.25 / $276.25	Facility		$276.25	$276.25	$276.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $114.81 / $143.52	Professional		$55.00	$114.81	$143.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.85 / $124.85 / $124.85	Facility		$124.85	$124.85	$124.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $400.00	Professional		$100.00	$100.00	$400.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $385.00 / $483.29	Facility		$350.00	$385.00	$483.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $154.19 / $400.00	Professional		$90.00	$154.19	$400.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.85 / $124.85 / $350.00	Facility		$124.85	$124.85	$350.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $100.00 / $275.00	Professional		$96.86	$100.00	$275.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $200.00 / $301.72	Professional		$39.25	$200.00	$301.72