Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.03 / $235.95 / $400.89	Facility		$142.03	$235.95	$400.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $114.54 / $114.54	Professional		$17.53	$114.54	$114.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.44 / $94.44	Facility		$94.44	$94.44	$94.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $39.24 / $49.04	Professional		$39.24	$39.24	$49.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $27.35 / $41.37	Facility		$12.51	$27.35	$41.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $34.19 / $136.76	Professional		$34.19	$34.19	$136.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.66 / $126.50 / $136.76	Facility		$119.66	$126.50	$136.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $52.59 / $140.24	Professional		$30.77	$52.59	$140.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $126.50 / $136.76	Facility		$94.44	$126.50	$136.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $34.19 / $94.02	Professional		$33.31	$34.19	$94.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $68.38 / $70.12	Professional		$15.78	$68.38	$70.12