Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $154.88 / $346.74	Facility		$56.23	$154.88	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $169.82	Professional		$40.74	$47.86	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $74.13	Professional		$36.31	$58.88	$74.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $51.29 / $229.09	Facility		$39.81	$51.29	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $204.17	Professional		$51.29	$51.29	$204.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $190.55 / $204.17	Facility		$177.83	$190.55	$204.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $114.82	Professional		$95.50	$114.82	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $69.18	Professional		$36.31	$51.29	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $102.33 / $154.88	Professional		$32.36	$102.33	$154.88