Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $165.96 / $426.58	Facility		$89.13	$165.96	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $104.71	Professional		$26.30	$32.36	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $50.12	Professional		$25.70	$33.11	$50.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $35.48 / $165.96	Facility		$25.70	$35.48	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $141.25	Professional		$35.48	$35.48	$141.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $134.90 / $223.87	Facility		$123.03	$134.90	$223.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $79.43 / $79.43	Professional		$37.15	$79.43	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.20 / $64.57	Facility		$25.70	$30.20	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $45.71	Professional		$25.70	$35.48	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $50.12 / $104.71	Professional		$20.89	$50.12	$104.71