Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.05 / $755.59 / $1,283.77	Facility		$162.05	$755.59	$1,283.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $419.79 / $748.25	Professional		$54.75	$419.79	$748.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.47 / $302.47 / $302.47	Facility		$302.47	$302.47	$302.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $125.55 / $156.94	Professional		$58.81	$125.55	$156.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $87.59 / $132.47	Facility		$54.75	$87.59	$132.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $109.49 / $437.96	Professional		$109.49	$109.49	$437.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.80 / $405.11 / $437.96	Facility		$295.80	$405.11	$437.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $164.23 / $437.96	Professional		$98.54	$164.23	$437.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $87.59 / $213.51	Facility		$57.56	$87.59	$213.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $109.49 / $301.10	Professional		$70.19	$109.49	$301.10
United Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $218.98 / $330.35	Professional		$51.77	$218.98	$330.35