Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.81 / $184.64 / $466.44	Facility		$134.81	$184.64	$466.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $67.31 / $168.51	Professional		$42.45	$67.31	$168.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.90 / $178.90 / $178.90	Facility		$178.90	$178.90	$178.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $48.51 / $81.06	Professional		$35.50	$48.51	$81.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.77 / $114.59 / $134.81	Facility		$85.77	$114.59	$134.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $181.17 / $220.85	Professional		$96.67	$181.17	$220.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.95 / $114.95 / $3,495.87	Facility		$114.95	$114.95	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $115.92 / $228.80	Professional		$82.54	$115.92	$228.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $114.59 / $178.90	Facility		$77.36	$114.59	$178.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $91.85 / $164.84	Professional		$41.97	$91.85	$164.84
United Facility/Professional Professional Modifier Low / Median / High Price $149.28 / $154.46 / $216.24	Professional		$149.28	$154.46	$216.24