Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $229.09 / $389.05	Facility		$4.90	$229.09	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $363.08	Professional		$169.82	$213.80	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $208.93	Professional		$141.25	$141.25	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $316.23 / $354.81	Facility		$100.00	$316.23	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $794.33	Professional		$281.84	$380.19	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $371.54	Facility		$363.08	$363.08	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $371.54	Professional		$295.12	$363.08	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $371.54	Facility		$100.00	$100.00	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $194.98 / $398.11	Professional		$60.26	$194.98	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $158.49	Facility		$154.88	$154.88	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $912.01	Professional		$177.83	$275.42	$912.01