Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.72 / $269.14 / $457.28	Facility		$57.72	$269.14	$457.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.65 / $130.65 / $250.77	Professional		$130.65	$130.65	$250.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.74 / $107.74 / $107.74	Facility		$107.74	$107.74	$107.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $45.02 / $56.27	Professional		$14.34	$45.02	$56.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.40 / $28.40 / $28.40	Facility		$28.40	$28.40	$28.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $156.00	Professional		$39.00	$39.00	$156.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.84 / $144.30 / $156.00	Facility		$106.84	$144.30	$156.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $87.75 / $87.75	Professional		$35.10	$87.75	$87.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.40 / $28.40 / $107.74	Facility		$28.40	$28.40	$107.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $12.64 / $39.00	Professional		$11.31	$12.64	$39.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $78.00 / $78.00	Professional		$12.33	$78.00	$78.00