Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $225.12 / $382.48	Facility		$48.28	$225.12	$382.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $109.28 / $109.28	Professional		$42.92	$109.28	$109.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.10 / $90.10 / $90.10	Facility		$90.10	$90.10	$90.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $37.58 / $46.98	Professional		$37.39	$37.58	$46.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $35.29 / $35.29	Facility		$35.29	$35.29	$35.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $32.61 / $130.47	Professional		$32.61	$32.61	$130.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.17 / $125.59 / $210.41	Facility		$114.17	$125.59	$210.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $73.40 / $73.40	Professional		$29.36	$73.40	$73.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $35.29 / $114.17	Facility		$35.29	$35.29	$114.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $37.39 / $42.17	Professional		$32.61	$37.39	$42.17
United Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $65.23 / $98.42	Professional		$20.50	$65.23	$98.42