Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $316.23 / $537.03	Facility		$64.57	$316.23	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $147.91	Professional		$34.67	$41.69	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $50.12 / $63.10	Professional		$13.18	$50.12	$63.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $43.65	Facility		$21.88	$21.88	$43.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $177.83	Professional		$43.65	$43.65	$177.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $162.18 / $177.83	Facility		$97.72	$162.18	$177.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $100.00	Professional		$43.65	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $39.81 / $43.65	Professional		$13.18	$39.81	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $87.10 / $131.83	Professional		$11.22	$87.10	$131.83