Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $86.79 / $147.46	Facility		$52.24	$86.79	$147.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.37 / $116.37 / $116.37	Facility		$116.37	$116.37	$116.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $48.40 / $60.50	Professional		$23.42	$48.40	$60.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $135.66 / $168.52	Professional		$42.13	$135.66	$168.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.46 / $155.88 / $168.52	Facility		$147.46	$155.88	$168.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $63.20 / $94.79	Professional		$37.92	$63.20	$94.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $42.13 / $115.86	Professional		$40.02	$42.13	$115.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $94.10 / $142.44	Professional		$19.00	$94.10	$142.44