Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $252.10 / $428.33	Facility		$54.06	$252.10	$428.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $234.89 / $274.13	Professional		$140.06	$234.89	$274.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.90 / $100.90 / $100.90	Facility		$100.90	$100.90	$100.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $42.13 / $52.66	Professional		$19.60	$42.13	$52.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $29.22 / $44.20	Facility		$18.28	$29.22	$44.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $36.53 / $146.12	Professional		$36.53	$36.53	$146.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.60 / $135.16 / $146.12	Facility		$98.60	$135.16	$146.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $54.80 / $146.12	Professional		$32.88	$54.80	$146.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.18 / $29.22 / $71.23	Facility		$19.18	$29.22	$71.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $36.53 / $100.46	Professional		$23.40	$36.53	$100.46
United Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $73.06 / $110.22	Professional		$17.26	$73.06	$110.22