Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.27 / $237.13 / $370.51	Facility		$131.27	$237.13	$370.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $105.86 / $105.86	Professional		$105.86	$105.86	$105.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.30 / $87.30 / $87.30	Facility		$87.30	$87.30	$87.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $36.34 / $45.43	Professional		$36.34	$36.34	$45.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $16.43 / $30.02	Facility		$16.43	$16.43	$30.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $31.60 / $126.40	Professional		$31.60	$31.60	$126.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.92 / $116.92 / $126.40	Facility		$116.92	$116.92	$126.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $47.40 / $126.40	Professional		$28.44	$47.40	$126.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $16.43 / $36.34	Facility		$16.43	$16.43	$36.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $33.18 / $126.40	Professional		$30.02	$33.18	$126.40
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $63.20 / $95.34	Professional		$14.22	$63.20	$95.34