Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $290.97 / $492.07	Facility		$174.00	$290.97	$492.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $156.88	Professional		$142.62	$142.63	$156.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.02 / $394.02 / $394.02	Facility		$394.02	$394.02	$394.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $79.14 / $175.71	Professional		$79.14	$79.14	$175.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.96 / $203.96 / $203.96	Facility		$203.96	$203.96	$203.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $459.27	Professional		$142.63	$142.63	$459.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.21 / $499.21 / $499.21	Facility		$499.21	$499.21	$499.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $320.92 / $320.92	Professional		$128.37	$320.92	$320.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.96 / $394.02 / $499.21	Facility		$203.96	$394.02	$499.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $392.23 / $392.23	Professional		$79.14	$392.23	$392.23
United Facility/Professional Professional Modifier Low / Median / High Price $167.58 / $355.06 / $535.65	Professional		$167.58	$355.06	$535.65