Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.94 / $354.09 / $601.62	Facility		$75.94	$354.09	$601.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.52 / $171.89 / $329.92	Professional		$67.52	$171.89	$329.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $141.74 / $141.74	Facility		$141.74	$141.74	$141.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $37.57 / $86.84	Professional		$37.57	$37.57	$86.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.80 / $245.80 / $245.80	Facility		$245.80	$245.80	$245.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $165.22	Professional		$51.31	$51.31	$165.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.59 / $197.54 / $330.99	Facility		$179.59	$197.54	$330.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $115.45 / $115.45	Professional		$46.18	$115.45	$115.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $197.54 / $330.99	Facility		$141.74	$197.54	$330.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $86.84 / $141.10	Professional		$37.57	$86.84	$141.10
United Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $126.70 / $154.81	Professional		$72.22	$126.70	$154.81