Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $363.08 / $616.60	Facility		$74.13	$363.08	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $169.82	Professional		$39.81	$46.77	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $57.54 / $72.44	Professional		$33.88	$57.54	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $50.12	Facility		$37.15	$37.15	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $204.17	Professional		$50.12	$50.12	$204.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $194.98 / $323.59	Facility		$177.83	$194.98	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $114.82	Professional		$93.33	$114.82	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $64.57	Professional		$33.88	$50.12	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $100.00 / $151.36	Professional		$31.62	$100.00	$151.36