Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.08 / $266.17 / $445.78	Facility		$57.08	$266.17	$445.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $129.21 / $147.88	Professional		$21.71	$129.21	$147.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.55 / $106.55 / $106.55	Facility		$106.55	$106.55	$106.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $44.19 / $55.24	Professional		$44.19	$44.19	$55.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $28.09 / $28.09	Facility		$28.09	$28.09	$28.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $38.57 / $154.28	Professional		$38.57	$38.57	$154.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $142.71 / $154.28	Facility		$135.00	$142.71	$154.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $57.86 / $154.28	Professional		$34.71	$57.86	$154.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $28.09 / $31.24	Facility		$28.09	$28.09	$31.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $38.57 / $106.07	Professional		$36.64	$38.57	$106.07
United Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $77.14 / $116.37	Professional		$17.36	$77.14	$116.37