Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $288.40 / $489.78	Facility		$58.88	$288.40	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $134.90	Professional		$32.36	$38.02	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $46.77 / $57.54	Professional		$7.59	$46.77	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $39.81	Facility		$29.51	$29.51	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $162.18	Professional		$39.81	$39.81	$162.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $147.91 / $162.18	Facility		$56.23	$147.91	$162.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $91.20 / $91.20	Professional		$39.81	$91.20	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $36.31 / $39.81	Professional		$7.59	$36.31	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $79.43 / $120.23	Professional		$6.46	$79.43	$120.23