Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $424.42 / $721.11	Facility		$91.02	$424.42	$721.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $206.03 / $206.03	Professional		$31.53	$206.03	$206.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.92 / $169.92 / $169.92	Facility		$169.92	$169.92	$169.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $70.62 / $88.28	Professional		$25.23	$70.62	$88.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $44.79 / $44.79	Facility		$44.79	$44.79	$44.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $61.50 / $246.00	Professional		$61.50	$61.50	$246.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.20 / $227.55 / $246.00	Facility		$187.20	$227.55	$246.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $138.38 / $138.38	Professional		$55.35	$138.38	$138.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $44.79 / $187.20	Facility		$44.79	$44.79	$187.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $55.35 / $61.50	Professional		$44.41	$55.35	$61.50
United Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $123.00 / $185.56	Professional		$21.60	$123.00	$185.56