Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $163.72 / $426.21	Facility		$74.56	$163.72	$426.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $44.66 / $225.63	Professional		$39.64	$44.66	$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 $24.32 / $24.32 / $54.00	Professional		$24.32	$24.32	$54.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $154.80 / $226.98	Facility		$88.76	$154.80	$226.98
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 / $78.95	Professional		$31.58	$78.95	$78.95
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 $24.32 / $54.00 / $96.50	Professional		$24.32	$54.00	$96.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $86.66 / $105.87	Professional		$47.76	$86.66	$105.87