Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.45 / $277.20 / $471.00	Facility		$59.45	$277.20	$471.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $134.57 / $258.29	Professional		$134.57	$134.57	$258.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.97 / $110.97 / $110.97	Facility		$110.97	$110.97	$110.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $46.26 / $57.82	Professional		$7.62	$46.26	$57.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $29.26 / $29.26	Facility		$29.26	$29.26	$29.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $40.17 / $160.68	Professional		$40.17	$40.17	$160.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $148.63 / $160.68	Facility		$56.48	$148.63	$160.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $90.38 / $90.38	Professional		$36.15	$90.38	$90.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $29.26 / $66.83	Facility		$29.26	$29.26	$66.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $36.15 / $40.17	Professional		$13.40	$36.15	$40.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $80.34 / $121.20	Professional		$6.52	$80.34	$121.20