Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.18 / $565.05 / $960.05	Facility		$121.18	$565.05	$960.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.30 / $274.30 / $526.49	Professional		$274.30	$274.30	$526.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.19 / $226.19 / $226.19	Facility		$226.19	$226.19	$226.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $94.16 / $117.71	Professional		$50.82	$94.16	$117.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $40.94 / $40.94	Facility		$40.94	$40.94	$40.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $81.88 / $327.52	Professional		$81.88	$81.88	$327.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.58 / $315.24 / $446.41	Facility		$286.58	$315.24	$446.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $142.40 / $341.76	Professional		$73.69	$142.40	$341.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $40.94 / $286.58	Facility		$40.94	$40.94	$286.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $89.47 / $225.17	Professional		$73.69	$89.47	$225.17
United Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $163.76 / $170.88	Professional		$42.81	$163.76	$170.88