Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.91 / $172.87 / $422.66	Facility		$151.91	$172.87	$422.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $122.51 / $140.21	Professional		$33.67	$122.51	$140.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.02 / $101.02 / $101.02	Facility		$101.02	$101.02	$101.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $42.13 / $52.66	Professional		$26.86	$42.13	$52.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $31.88 / $31.88	Facility		$31.88	$31.88	$31.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $36.57 / $146.28	Professional		$36.57	$36.57	$146.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $140.79 / $235.91	Facility		$128.00	$140.79	$235.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $82.28 / $82.28	Professional		$32.90	$82.28	$82.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $31.88 / $128.00	Facility		$31.88	$31.88	$128.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $47.28 / $52.83	Professional		$36.57	$47.28	$52.83
United Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $73.14 / $110.34	Professional		$22.99	$73.14	$110.34