Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $281.84 / $478.63	Facility		$57.54	$281.84	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $131.83	Professional		$30.90	$37.15	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $44.67 / $56.23	Professional		$18.62	$44.67	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $38.90	Facility		$28.18	$28.18	$38.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $154.88	Professional		$38.90	$38.90	$154.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $165.96	Facility		$138.04	$144.54	$165.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $87.10	Professional		$52.48	$87.10	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $35.48 / $38.90	Professional		$18.62	$35.48	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $77.62 / $117.49	Professional		$15.85	$77.62	$117.49