Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $457.09 / $794.33	Facility		$95.50	$457.09	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $213.80	Professional		$51.29	$60.26	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $74.13 / $91.20	Professional		$21.88	$74.13	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $64.57	Facility		$32.36	$32.36	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $257.04	Professional		$64.57	$64.57	$257.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $257.04	Facility		$162.18	$239.88	$257.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $144.54 / $144.54	Professional		$64.57	$144.54	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $57.54 / $64.57	Professional		$21.88	$57.54	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $128.82 / $194.98	Professional		$18.20	$128.82	$194.98