Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $302.00 / $457.09	Facility		$57.54	$302.00	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $128.82	Professional		$30.90	$36.31	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $54.95	Professional		$44.67	$44.67	$54.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.90 / $173.78	Facility		$28.18	$38.90	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $154.88	Professional		$38.90	$70.79	$154.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $141.25 / $154.88	Facility		$134.90	$141.25	$154.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $87.10	Professional		$57.54	$87.10	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $38.90	Professional		$36.31	$36.31	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $77.62 / $117.49	Professional		$17.38	$77.62	$117.49