Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $501.19 / $851.14	Facility		$104.71	$501.19	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $234.42	Professional		$56.23	$67.61	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $316.23	Facility		$70.79	$70.79	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $223.87	Professional		$70.79	$70.79	$223.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $257.04 / $281.84	Facility		$245.47	$257.04	$281.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $194.98 / $338.84	Facility		$56.23	$194.98	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $70.79	Professional		$43.65	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $141.25 / $213.80	Professional		$41.69	$141.25	$213.80