Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $176.59 / $468.65	Facility		$138.63	$176.59	$468.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $44.66 / $135.84	Professional		$39.64	$44.66	$135.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.03 / $112.03 / $112.03	Facility		$112.03	$112.03	$112.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $24.32 / $54.00	Professional		$24.32	$24.32	$54.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.25 / $194.25 / $194.25	Facility		$194.25	$194.25	$194.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $40.54 / $130.57	Professional		$40.54	$40.54	$130.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.91 / $156.12 / $226.38	Facility		$141.91	$156.12	$226.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $91.24 / $91.24	Professional		$36.50	$91.24	$91.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.03 / $156.12 / $226.38	Facility		$112.03	$156.12	$226.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $54.00 / $111.51	Professional		$24.32	$54.00	$111.51
United Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $86.66 / $122.35	Professional		$47.76	$86.66	$122.35