Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $229.09 / $389.05	Facility		$213.80	$229.09	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $120.23	Professional		$51.29	$58.88	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $70.79	Professional		$48.98	$48.98	$70.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $95.50 / $141.25	Facility		$31.62	$95.50	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $213.80	Professional		$60.26	$134.90	$213.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $134.90 / $141.25	Facility		$72.44	$134.90	$141.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $173.78	Professional		$134.90	$134.90	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $120.23	Facility		$31.62	$31.62	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $93.33	Professional		$48.98	$67.61	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $52.48	Facility		$48.98	$48.98	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $512.86	Professional		$70.79	$151.36	$512.86