Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.08 / $260.38 / $442.40	Facility		$136.08	$260.38	$442.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $126.40 / $126.40	Professional		$19.62	$126.40	$126.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Facility		$104.21	$104.21	$104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $43.37 / $54.21	Professional		$43.37	$43.37	$54.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Facility		$10.50	$10.50	$10.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $113.19 / $150.91	Professional		$37.72	$113.19	$150.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.60 / $139.60 / $150.91	Facility		$139.60	$139.60	$150.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $33.96 / $84.89	Professional		$12.65	$33.96	$84.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $23.50	Facility		$10.50	$10.50	$23.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $12.05 / $33.14	Professional		$11.45	$12.05	$33.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $24.10 / $36.36	Professional		$5.42	$24.10	$36.36