Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $91.20 / $154.88	Facility		$51.29	$91.20	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $74.13	Professional		$58.88	$58.88	$74.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $51.29 / $147.91	Facility		$42.66	$51.29	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $91.20 / $165.96	Professional		$41.69	$91.20	$165.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $190.55 / $204.17	Facility		$51.29	$190.55	$204.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $114.82	Professional		$63.10	$114.82	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $41.69	Professional		$39.81	$39.81	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $93.33 / $141.25	Professional		$19.05	$93.33	$141.25