Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.61 / $347.87 / $591.04	Facility		$74.61	$347.87	$591.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $168.87 / $168.87	Professional		$58.85	$168.87	$168.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.27 / $139.27 / $139.27	Facility		$139.27	$139.27	$139.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $57.82 / $72.28	Professional		$37.75	$57.82	$72.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Facility		$54.55	$54.55	$54.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $50.41 / $201.64	Professional		$50.41	$50.41	$201.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.44 / $194.08 / $325.16	Facility		$176.44	$194.08	$325.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $113.42 / $113.42	Professional		$45.37	$113.42	$113.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $176.44	Facility		$54.55	$54.55	$176.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $50.41 / $65.17	Professional		$50.41	$50.41	$65.17
United Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $100.82 / $152.10	Professional		$31.68	$100.82	$152.10