Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $419.58 / $712.88	Facility		$89.98	$419.58	$712.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.68 / $203.68 / $390.94	Professional		$203.68	$203.68	$390.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.96 / $167.96 / $167.96	Facility		$167.96	$167.96	$167.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $69.80 / $87.25	Professional		$8.71	$69.80	$87.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $30.40 / $30.40	Facility		$30.40	$30.40	$30.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $243.20	Professional		$60.80	$60.80	$243.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $224.96 / $243.20	Facility		$65.31	$224.96	$243.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $136.80 / $136.80	Professional		$54.72	$136.80	$136.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $30.40 / $77.36	Facility		$30.40	$30.40	$77.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $17.32 / $60.80	Professional		$15.50	$17.32	$60.80
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $121.60 / $183.45	Professional		$7.54	$121.60	$183.45