Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $93.17 / $158.31	Facility		$56.09	$93.17	$158.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $49.75	Professional		$45.22	$45.23	$49.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.08 / $125.08 / $125.08	Facility		$125.08	$125.08	$125.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $52.04 / $65.05	Professional		$25.05	$52.04	$65.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $45.23	Facility		$45.23	$45.23	$45.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $45.28 / $181.12	Professional		$45.28	$45.28	$181.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.30 / $158.30 / $158.30	Facility		$158.30	$158.30	$158.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $67.84 / $101.88	Professional		$40.75	$67.84	$101.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $45.23	Facility		$45.23	$45.23	$45.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $45.28 / $124.38	Professional		$42.97	$45.28	$124.38
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $90.46 / $136.47	Professional		$20.35	$90.46	$136.47