Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.12 / $328.69 / $550.70	Facility		$190.12	$328.69	$550.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $62.65 / $159.56	Professional		$55.61	$62.65	$159.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.58 / $131.58 / $131.58	Facility		$131.58	$131.58	$131.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $54.52 / $68.15	Professional		$35.76	$54.52	$68.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $37.97 / $37.97	Facility		$37.97	$37.97	$37.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $47.63 / $190.52	Professional		$47.63	$47.63	$190.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $183.38 / $307.29	Facility		$166.71	$183.38	$307.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.87 / $107.17 / $473.75	Professional		$42.87	$107.17	$473.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $37.97 / $166.71	Facility		$37.97	$37.97	$166.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $47.64 / $61.59	Professional		$47.63	$47.64	$61.59
United Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $95.26 / $143.71	Professional		$29.94	$95.26	$143.71