Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.72 / $590.20 / $909.01	Facility		$326.72	$590.20	$909.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.48 / $263.48 / $505.72	Professional		$263.48	$263.48	$505.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.26 / $217.26 / $217.26	Facility		$217.26	$217.26	$217.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $90.45 / $113.06	Professional		$29.04	$90.45	$113.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.29 / $57.29 / $57.29	Facility		$57.29	$57.29	$57.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $78.65 / $314.60	Professional		$78.65	$78.65	$314.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.64 / $291.01 / $314.60	Facility		$215.64	$291.01	$314.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $176.96 / $176.96	Professional		$70.79	$176.96	$176.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.29 / $57.29 / $217.26	Facility		$57.29	$57.29	$217.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $70.79 / $78.65	Professional		$51.17	$70.79	$78.65
United Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $157.30 / $237.30	Professional		$24.88	$157.30	$237.30