Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $302.00 / $512.86	Facility		$61.66	$302.00	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $138.04	Professional		$33.11	$39.81	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $66.07	Professional		$30.90	$30.90	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $186.21	Facility		$41.69	$41.69	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $134.90	Professional		$41.69	$41.69	$134.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $162.18 / $269.15	Facility		$144.54	$162.18	$269.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $85.11 / $199.53	Facility		$33.11	$85.11	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $66.07	Professional		$30.90	$41.69	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $83.18 / $125.89	Professional		$25.12	$83.18	$125.89