Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $416.87 / $707.95	Facility		$85.11	$416.87	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $53.70 / $194.98	Professional		$30.90	$53.70	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $31.62	Professional		$14.79	$14.79	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $263.03	Facility		$57.54	$57.54	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.54 / $186.21	Professional		$56.23	$57.54	$186.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $213.80 / $234.42	Facility		$109.65	$213.80	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $48.98 / $275.42	Facility		$29.51	$48.98	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $31.62 / $52.48	Professional		$14.79	$31.62	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $93.33 / $173.78	Professional		$28.18	$93.33	$173.78