Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.88 / $269.89 / $458.57	Facility		$57.88	$269.89	$458.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $131.02 / $149.94	Professional		$23.44	$131.02	$149.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.04 / $108.04 / $108.04	Facility		$108.04	$108.04	$108.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $45.02 / $56.27	Professional		$18.70	$45.02	$56.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $28.49 / $28.49	Facility		$28.49	$28.49	$28.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $39.11 / $156.44	Professional		$39.11	$39.11	$156.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.88 / $144.71 / $164.29	Facility		$136.88	$144.71	$164.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $88.00 / $88.00	Professional		$35.20	$88.00	$88.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $28.49 / $136.88	Facility		$28.49	$28.49	$136.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $32.93 / $39.11	Professional		$32.93	$32.93	$39.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $78.22 / $118.00	Professional		$16.02	$78.22	$118.00