Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.40 / $243.82 / $408.34	Facility		$140.40	$243.82	$408.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $118.36 / $135.46	Professional		$32.50	$118.36	$135.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $97.58 / $97.58	Facility		$97.58	$97.58	$97.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $40.47 / $50.59	Professional		$25.96	$40.47	$50.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $32.03	Facility		$32.03	$32.03	$32.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $141.32	Professional		$35.33	$35.33	$141.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.66 / $136.02 / $227.95	Facility		$123.66	$136.02	$227.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $79.48 / $549.92	Professional		$31.80	$79.48	$549.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $123.66	Facility		$32.03	$32.03	$123.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $45.69 / $51.05	Professional		$35.33	$45.69	$51.05
United Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $70.66 / $106.60	Professional		$22.22	$70.66	$106.60