Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $389.05	Facility		$138.04	$245.47	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $104.71	Professional		$25.12	$28.84	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $45.71	Professional		$36.31	$36.31	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $31.62 / $141.25	Facility		$16.60	$31.62	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $102.33	Professional		$31.62	$31.62	$102.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $123.03 / $125.89	Facility		$117.49	$123.03	$125.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $70.79	Professional		$47.86	$70.79	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $36.31	Facility		$16.60	$16.60	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $31.62	Professional		$30.20	$30.20	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $63.10 / $95.50	Professional		$14.13	$63.10	$95.50