Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $384.66 / $653.55	Facility		$82.50	$384.66	$653.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.73 / $186.73 / $358.41	Professional		$186.73	$186.73	$358.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $153.97 / $153.97	Facility		$153.97	$153.97	$153.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $30.68 / $65.91	Professional		$30.68	$30.68	$65.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $267.02 / $267.02 / $267.02	Facility		$267.02	$267.02	$267.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $55.74 / $179.48	Professional		$55.74	$55.74	$179.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.09 / $214.60 / $269.33	Facility		$195.09	$214.60	$269.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $125.42 / $125.42	Professional		$50.17	$125.42	$125.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $214.60 / $269.33	Facility		$153.97	$214.60	$269.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $50.17 / $65.91	Professional		$30.68	$50.17	$65.91
United Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $111.48 / $168.18	Professional		$58.33	$111.48	$168.18