Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $167.67 / $589.96	Facility		$70.19	$167.67	$589.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $50.65 / $128.97	Professional		$37.82	$50.65	$128.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.38 / $106.38 / $106.38	Facility		$106.38	$106.38	$106.38
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 $33.56 / $33.56 / $33.56	Facility		$33.56	$33.56	$33.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $38.50 / $154.00	Professional		$38.50	$38.50	$154.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $148.22 / $248.33	Facility		$134.75	$148.22	$248.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $86.63 / $436.25	Professional		$34.65	$86.63	$436.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.56 / $33.56 / $134.75	Facility		$33.56	$33.56	$134.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $49.77 / $55.62	Professional		$38.50	$49.77	$55.62
United Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $77.00 / $95.06	Professional		$24.20	$77.00	$95.06