Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.14 / $368.99 / $626.91	Facility		$79.14	$368.99	$626.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $179.12 / $343.81	Professional		$46.00	$179.12	$343.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $147.72 / $147.72	Facility		$147.72	$147.72	$147.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $55.27	Professional		$25.59	$25.59	$55.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $256.14 / $256.14	Facility		$256.14	$256.14	$256.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $53.47 / $172.17	Professional		$53.47	$53.47	$172.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.14 / $197.84 / $225.48	Facility		$187.14	$197.84	$225.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $120.31 / $120.31	Professional		$48.12	$120.31	$120.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $197.84 / $256.14	Facility		$147.72	$197.84	$256.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $48.12 / $55.27	Professional		$25.59	$48.12	$55.27
United Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $106.94 / $161.33	Professional		$48.84	$106.94	$161.33