Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $270.93 / $460.32	Facility		$58.10	$270.93	$460.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $131.52 / $252.44	Professional		$131.52	$131.52	$252.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.46 / $108.46 / $108.46	Facility		$108.46	$108.46	$108.46
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 $188.07 / $188.07 / $188.07	Facility		$188.07	$188.07	$188.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $39.26 / $126.42	Professional		$39.26	$39.26	$126.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.41 / $151.15 / $226.38	Facility		$137.41	$151.15	$226.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $88.34 / $88.34	Professional		$35.33	$88.34	$88.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.46 / $151.15 / $226.38	Facility		$108.46	$151.15	$226.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $35.33 / $55.68	Professional		$25.77	$35.33	$55.68
United Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $86.66 / $118.46	Professional		$49.04	$86.66	$118.46