Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $263.03 / $933.25	Facility		$56.23	$263.03	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $125.89	Professional		$30.20	$34.67	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $53.70	Professional		$27.54	$43.65	$53.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.02 / $169.82	Facility		$33.88	$38.02	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $151.36	Professional		$38.02	$38.02	$151.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $144.54 / $245.47	Facility		$131.83	$144.54	$245.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $186.21	Professional		$69.18	$85.11	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.02 / $48.98	Professional		$27.54	$38.02	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $75.86 / $114.82	Professional		$23.99	$75.86	$114.82