Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $292.45 / $496.90	Facility		$62.72	$292.45	$496.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $141.97 / $272.50	Professional		$141.97	$141.97	$272.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.09 / $117.09 / $117.09	Facility		$117.09	$117.09	$117.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $54.86	Professional		$25.59	$25.59	$54.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.02 / $203.02 / $203.02	Facility		$203.02	$203.02	$203.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $42.38 / $136.46	Professional		$42.38	$42.38	$136.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.33 / $163.16 / $224.53	Facility		$148.33	$163.16	$224.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $95.36 / $95.36	Professional		$38.14	$95.36	$95.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.09 / $163.16 / $224.53	Facility		$117.09	$163.16	$224.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $38.14 / $54.86	Professional		$25.59	$38.14	$54.86
United Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $85.96 / $127.14	Professional		$67.75	$85.96	$127.14