Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $257.04	Professional		$151.36	$162.18	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $151.36	Professional		$104.71	$104.71	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $257.04	Facility		$177.83	$257.04	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $812.83	Professional		$158.49	$275.42	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $263.03 / $275.42	Facility		$234.42	$263.03	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $269.15	Professional		$213.80	$263.03	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $288.40	Facility		$177.83	$177.83	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $257.04	Professional		$60.26	$141.25	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $128.82	Facility		$120.23	$120.23	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $588.84	Professional		$128.82	$204.17	$588.84