Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $660.69 / $812.83	Facility		$229.09	$660.69	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $125.89	Professional		$28.84	$32.36	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $2.82	Facility		$2.82	$2.82	$2.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $29.51 / $37.15	Professional		$12.88	$29.51	$37.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $776.25	Facility		$18.62	$18.62	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $269.15	Professional		$19.05	$37.15	$269.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $162.18	Professional		$93.33	$134.90	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $33.88 / $47.86	Professional		$12.88	$33.88	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $81.28 / $123.03	Professional		$8.71	$81.28	$123.03