Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $295.12 / $457.09	Facility		$162.18	$295.12	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $37.15	Professional		$20.89	$25.70	$37.15
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 / $26.92 / $93.33	Professional		$12.88	$26.92	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $32.36 / $177.83	Facility		$20.89	$32.36	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $147.91	Professional		$19.05	$26.92	$147.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $181.97	Professional		$70.79	$134.90	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $37.15 / $125.89	Facility		$19.05	$37.15	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $33.88 / $93.33	Professional		$12.88	$33.88	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $81.28 / $95.50	Professional		$15.14	$81.28	$95.50