Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $257.04 / $363.08	Facility		$69.18	$257.04	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $158.49	Professional		$38.02	$43.65	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $67.61	Professional		$34.67	$53.70	$67.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $46.77 / $213.80	Facility		$42.66	$46.77	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $186.21	Professional		$46.77	$46.77	$186.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $181.97 / $302.00	Facility		$165.96	$181.97	$302.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $234.42	Professional		$87.10	$104.71	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $60.26	Professional		$34.67	$46.77	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $93.33 / $141.25	Professional		$29.51	$93.33	$141.25