Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.76 / $404.54 / $687.33	Facility		$86.76	$404.54	$687.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $196.38 / $376.93	Professional		$196.38	$196.38	$376.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.93 / $161.93 / $161.93	Facility		$161.93	$161.93	$161.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $31.40 / $67.55	Professional		$31.40	$31.40	$67.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $280.82 / $280.82 / $280.82	Facility		$280.82	$280.82	$280.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $58.62 / $188.76	Professional		$58.62	$58.62	$188.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.17 / $225.69 / $276.29	Facility		$205.17	$225.69	$276.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $131.90 / $131.90	Professional		$52.76	$131.90	$131.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.93 / $225.69 / $280.82	Facility		$161.93	$225.69	$280.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $52.76 / $67.55	Professional		$31.40	$52.76	$67.55
United Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $117.24 / $176.87	Professional		$59.85	$117.24	$176.87