Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.53 / $473.41 / $804.34	Facility		$101.53	$473.41	$804.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $229.81 / $441.10	Professional		$229.81	$229.81	$441.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $189.51 / $189.51	Facility		$189.51	$189.51	$189.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $50.28 / $108.49	Professional		$50.28	$50.28	$108.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $328.63 / $328.63 / $328.63	Facility		$328.63	$328.63	$328.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $68.59 / $220.89	Professional		$68.59	$68.59	$220.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.10 / $264.11 / $442.48	Facility		$240.10	$264.11	$442.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $154.35 / $154.35	Professional		$61.74	$154.35	$154.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $264.11 / $442.48	Facility		$189.51	$264.11	$442.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $68.59 / $108.49	Professional		$50.28	$68.59	$108.49
United Facility/Professional Professional Modifier Low / Median / High Price $133.52 / $169.38 / $205.80	Professional		$133.52	$169.38	$205.80