Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $305.37 / $518.84	Facility		$65.48	$305.37	$518.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $148.24 / $284.52	Professional		$148.24	$148.24	$284.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.23 / $122.23 / $122.23	Facility		$122.23	$122.23	$122.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $50.80 / $63.50	Professional		$9.44	$50.80	$63.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Facility		$32.22	$32.22	$32.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $44.25 / $177.00	Professional		$44.25	$44.25	$177.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.84 / $163.72 / $177.00	Facility		$119.84	$163.72	$177.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $66.38 / $177.00	Professional		$39.83	$66.38	$177.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $32.22 / $122.23	Facility		$32.22	$32.22	$122.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $44.25 / $121.69	Professional		$28.43	$44.25	$121.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $88.50 / $133.51	Professional		$8.01	$88.50	$133.51