Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $309.03 / $524.81	Facility		$63.10	$309.03	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $144.54	Professional		$33.88	$40.74	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $67.61	Professional		$31.62	$31.62	$67.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $194.98	Facility		$42.66	$42.66	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $138.04	Professional		$42.66	$42.66	$138.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $165.96 / $275.42	Facility		$151.36	$165.96	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $104.71 / $204.17	Facility		$33.88	$104.71	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $67.61	Professional		$31.62	$42.66	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $85.11 / $128.82	Professional		$25.70	$85.11	$128.82