Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.08 / $100.08 / $100.08	Facility		$100.08	$100.08	$100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $110.22 / $159.80	Professional		$110.22	$110.22	$159.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.22 / $386.22 / $386.22	Facility		$386.22	$386.22	$386.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $106.26 / $134.51	Professional		$56.43	$106.26	$134.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $41.15 / $157.61	Facility		$41.15	$41.15	$157.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $108.69 / $231.06	Professional		$58.69	$108.69	$231.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $152.55 / $225.74	Professional		$118.75	$152.55	$225.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $49.38 / $386.22	Facility		$41.15	$49.38	$386.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $118.75 / $216.58	Professional		$48.84	$118.75	$216.58
United Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $106.93 / $215.04	Professional		$52.01	$106.93	$215.04