Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $489.78 / $758.58	Facility		$269.15	$489.78	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $208.93	Professional		$50.12	$57.54	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $81.28	Professional		$32.36	$64.57	$81.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $61.66 / $281.84	Facility		$32.36	$61.66	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $186.21 / $208.93	Professional		$60.26	$186.21	$208.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $229.09 / $251.19	Facility		$218.78	$229.09	$251.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $141.25	Professional		$107.15	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $50.12 / $114.82	Facility		$32.36	$50.12	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $75.86	Professional		$33.11	$57.54	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $123.03 / $186.21	Professional		$36.31	$123.03	$186.21