Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $86.79 / $147.46	Facility		$52.24	$86.79	$147.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $46.34	Professional		$42.13	$42.13	$46.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.08 / $142.08 / $142.08	Facility		$142.08	$142.08	$142.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $59.10 / $73.88	Professional		$59.10	$59.10	$73.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.31 / $42.31 / $42.31	Facility		$42.31	$42.31	$42.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $51.43 / $205.72	Professional		$51.43	$51.43	$205.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.46 / $190.29 / $205.72	Facility		$147.46	$190.29	$205.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $63.20 / $115.72	Professional		$44.24	$63.20	$115.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.08 / $190.29 / $205.72	Facility		$142.08	$190.29	$205.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $42.13 / $115.86	Professional		$40.02	$42.13	$115.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $94.10 / $142.44	Professional		$19.00	$94.10	$142.44