Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $400.26 / $680.05	Facility		$85.84	$400.26	$680.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $85.84 / $194.30	Professional		$23.42	$85.84	$194.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $160.22 / $160.22	Facility		$160.22	$160.22	$160.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $31.52	Professional		$14.70	$14.70	$31.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $277.85 / $277.85 / $277.85	Facility		$277.85	$277.85	$277.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $186.76	Professional		$58.00	$58.00	$186.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $214.60 / $232.00	Facility		$109.28	$214.60	$232.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $130.50 / $130.50	Professional		$52.20	$130.50	$130.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $203.00 / $277.85	Facility		$109.28	$203.00	$277.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $31.52 / $52.20	Professional		$14.70	$31.52	$52.20
United Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $116.00 / $175.00	Professional		$28.02	$116.00	$175.00