Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.69 / $287.64 / $488.71	Facility		$61.69	$287.64	$488.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $139.63 / $268.00	Professional		$139.63	$139.63	$268.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.13 / $115.13 / $115.13	Facility		$115.13	$115.13	$115.13
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 $199.67 / $199.67 / $199.67	Facility		$199.67	$199.67	$199.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $41.68 / $134.21	Professional		$41.68	$41.68	$134.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $160.47 / $226.38	Facility		$145.88	$160.47	$226.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $93.78 / $93.78	Professional		$37.51	$93.78	$93.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.13 / $160.47 / $226.38	Facility		$115.13	$160.47	$226.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $37.51 / $55.68	Professional		$25.77	$37.51	$55.68
United Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $86.66 / $125.76	Professional		$49.04	$86.66	$125.76