Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $239.88 / $398.11	Facility		$87.10	$239.88	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $114.82	Professional		$26.92	$32.36	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $154.88	Facility		$22.91	$33.88	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $102.33 / $114.82	Professional		$33.11	$102.33	$114.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $125.89 / $138.04	Facility		$120.23	$125.89	$138.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $77.62	Professional		$52.48	$77.62	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $27.54 / $63.10	Facility		$12.59	$27.54	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.11 / $60.26	Professional		$31.62	$33.11	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $67.61 / $102.33	Professional		$15.85	$67.61	$102.33