Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $332.90 / $565.60	Facility		$71.40	$332.90	$565.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $161.60 / $310.18	Professional		$161.60	$161.60	$310.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.28 / $133.28 / $133.28	Facility		$133.28	$133.28	$133.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $55.68	Professional		$25.77	$25.77	$55.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.09 / $231.09 / $231.09	Facility		$231.09	$231.09	$231.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $144.72 / $155.33	Professional		$43.42	$144.72	$155.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.84 / $185.72 / $226.38	Facility		$168.84	$185.72	$226.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $108.54 / $108.54	Professional		$43.42	$108.54	$108.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.28 / $185.72 / $231.09	Facility		$133.28	$185.72	$231.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $43.42 / $55.68	Professional		$25.77	$43.42	$55.68
United Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $96.48 / $145.55	Professional		$49.04	$96.48	$145.55