Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.84 / $164.32 / $923.17	Facility		$55.84	$164.32	$923.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $126.40 / $158.00	Professional		$34.71	$126.40	$158.00
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 $27.59 / $43.37 / $54.21	Professional		$27.59	$43.37	$54.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $34.21 / $34.21	Facility		$34.21	$34.21	$34.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $37.72 / $150.91	Professional		$37.72	$37.72	$150.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.05 / $145.26 / $243.35	Facility		$132.05	$145.26	$243.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $84.89 / $587.05	Professional		$33.96	$84.89	$587.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $34.21 / $132.05	Facility		$34.21	$34.21	$132.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $48.77 / $54.50	Professional		$37.72	$48.77	$54.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $75.45 / $113.84	Professional		$23.72	$75.45	$113.84