Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.93 / $242.15 / $411.43	Facility		$51.93	$242.15	$411.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $117.55 / $225.63	Professional		$117.55	$117.55	$225.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $96.94 / $96.94	Facility		$96.94	$96.94	$96.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $55.68	Professional		$25.77	$25.77	$55.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.10 / $168.10 / $168.10	Facility		$168.10	$168.10	$168.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $112.99	Professional		$35.09	$35.09	$112.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.82 / $135.10 / $226.38	Facility		$122.82	$135.10	$226.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $78.95 / $523.75	Professional		$31.58	$78.95	$523.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $135.10 / $226.38	Facility		$96.94	$135.10	$226.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $35.09 / $55.68	Professional		$25.77	$35.09	$55.68
United Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $86.66 / $105.87	Professional		$49.04	$86.66	$105.87