Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.40 / $295.63 / $502.29	Facility		$63.40	$295.63	$502.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.51 / $143.51 / $275.45	Professional		$143.51	$143.51	$275.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.36 / $118.36 / $118.36	Facility		$118.36	$118.36	$118.36
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 $205.22 / $205.22 / $205.22	Facility		$205.22	$205.22	$205.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $137.94	Professional		$42.84	$42.84	$137.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $164.93 / $276.29	Facility		$149.94	$164.93	$276.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $96.39 / $96.39	Professional		$38.56	$96.39	$96.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.36 / $164.93 / $276.29	Facility		$118.36	$164.93	$276.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $42.84 / $67.55	Professional		$31.40	$42.84	$67.55
United Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $105.76 / $129.26	Professional		$59.85	$105.76	$129.26