Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $246.65 / $470.96	Facility		$27.30	$246.65	$470.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $136.51 / $170.63	Professional		$37.40	$136.51	$170.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.58 / $112.58 / $112.58	Facility		$112.58	$112.58	$112.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $46.67 / $58.34	Professional		$29.95	$46.67	$58.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $35.53 / $35.53	Facility		$35.53	$35.53	$35.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $40.75 / $163.00	Professional		$40.75	$40.75	$163.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $156.88 / $262.88	Facility		$142.63	$156.88	$262.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $91.69 / $320.00	Professional		$36.68	$91.69	$320.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $35.53 / $142.63	Facility		$35.53	$35.53	$142.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $40.75 / $52.69	Professional		$40.75	$40.75	$52.69
United Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $81.50 / $122.95	Professional		$25.62	$81.50	$122.95