Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $396.89 / $814.38	Facility		$79.23	$396.89	$814.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $54.30 / $145.19	Professional		$48.21	$54.30	$145.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.03 / $114.03 / $114.03	Facility		$114.03	$114.03	$114.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $47.50 / $59.37	Professional		$30.31	$47.50	$59.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $35.97	Facility		$35.97	$35.97	$35.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $41.28 / $165.12	Professional		$41.28	$41.28	$165.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $158.93 / $266.25	Facility		$144.47	$158.93	$266.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $92.88 / $527.36	Professional		$37.15	$92.88	$527.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $144.47	Facility		$35.97	$35.97	$144.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $53.36 / $59.63	Professional		$41.27	$53.36	$59.63
United Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $82.56 / $124.55	Professional		$25.95	$82.56	$124.55