Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $266.95 / $452.83	Facility		$52.82	$266.95	$452.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $129.38 / $129.38	Professional		$35.46	$129.38	$129.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.68 / $106.68 / $106.68	Facility		$106.68	$106.68	$106.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $44.19 / $55.24	Professional		$28.32	$44.19	$55.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $33.67	Facility		$33.67	$33.67	$33.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $38.61 / $154.47	Professional		$38.61	$38.61	$154.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.16 / $148.69 / $249.13	Facility		$135.16	$148.69	$249.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $86.90 / $383.75	Professional		$34.76	$86.90	$383.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $135.16	Facility		$33.67	$33.67	$135.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $49.93 / $55.80	Professional		$38.61	$49.93	$55.80
United Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $77.23 / $116.52	Professional		$24.29	$77.23	$116.52