Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $285.39 / $482.66	Facility		$61.80	$285.39	$482.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $139.90 / $268.52	Professional		$139.90	$139.90	$268.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.35 / $115.35 / $115.35	Facility		$115.35	$115.35	$115.35
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 $200.06 / $200.06 / $200.06	Facility		$200.06	$200.06	$200.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $41.76 / $134.47	Professional		$41.76	$41.76	$134.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $160.78 / $269.33	Facility		$146.16	$160.78	$269.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $93.96 / $93.96	Professional		$37.58	$93.96	$93.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.35 / $160.78 / $269.33	Facility		$115.35	$160.78	$269.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $41.76 / $65.91	Professional		$30.68	$41.76	$65.91
United Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $103.10 / $126.00	Professional		$58.33	$103.10	$126.00