Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $316.49 / $535.23	Facility		$144.00	$316.49	$535.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $155.13 / $177.55	Professional		$31.23	$155.13	$177.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.93 / $127.93 / $127.93	Facility		$127.93	$127.93	$127.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $53.28 / $66.59	Professional		$24.87	$53.28	$66.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $34.26 / $34.26	Facility		$34.26	$34.26	$34.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $46.31 / $185.24	Professional		$46.31	$46.31	$185.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.09 / $178.29 / $218.94	Facility		$162.09	$178.29	$218.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $104.20 / $104.20	Professional		$41.68	$104.20	$104.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $34.26 / $162.09	Facility		$34.26	$34.26	$162.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $43.88 / $49.04	Professional		$41.68	$43.88	$49.04
United Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $92.62 / $139.72	Professional		$21.34	$92.62	$139.72