Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.40 / $257.35 / $504.70	Facility		$181.40	$257.35	$504.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $52.76 / $146.29	Professional		$46.85	$52.76	$146.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.66 / $120.66 / $120.66	Facility		$120.66	$120.66	$120.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $29.41 / $63.46	Professional		$29.41	$29.41	$63.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.19 / $209.19 / $209.19	Facility		$209.19	$209.19	$209.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $140.62	Professional		$43.67	$43.67	$140.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.85 / $168.13 / $258.76	Facility		$152.85	$168.13	$258.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $98.26 / $98.26	Professional		$39.29	$98.26	$98.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.66 / $168.13 / $258.76	Facility		$120.66	$168.13	$258.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $40.11 / $63.46	Professional		$29.41	$40.11	$63.46
United Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $131.76 / $131.76	Professional		$56.03	$131.76	$131.76