Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $208.93	Professional		$104.71	$112.20	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Professional		$89.13	$89.13	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $181.97 / $181.97	Facility		$125.89	$181.97	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $575.44	Professional		$114.82	$190.55	$575.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $181.97 / $190.55	Facility		$162.18	$181.97	$190.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $186.21	Professional		$147.91	$181.97	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $204.17	Facility		$125.89	$125.89	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $177.83	Professional		$60.26	$120.23	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $91.20	Facility		$85.11	$85.11	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $467.74	Professional		$89.13	$147.91	$467.74