Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $233.67 / $397.01	Facility		$50.11	$233.67	$397.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $113.43 / $217.72	Professional		$113.43	$113.43	$217.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $93.54 / $93.54	Facility		$93.54	$93.54	$93.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $39.24 / $49.04	Professional		$18.14	$39.24	$49.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $24.66 / $24.66	Facility		$24.66	$24.66	$24.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $135.44	Professional		$33.86	$33.86	$135.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.51 / $130.36 / $160.12	Facility		$118.51	$130.36	$160.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $76.19 / $76.19	Professional		$30.47	$76.19	$76.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $24.66 / $118.51	Facility		$24.66	$24.66	$118.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $32.09 / $35.86	Professional		$30.47	$32.09	$35.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $67.72 / $102.16	Professional		$15.61	$67.72	$102.16