Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $75.00 / $187.89	Facility		$51.31	$75.00	$187.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $100.00	Professional		$51.31	$51.31	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $141.74 / $141.74	Facility		$141.74	$141.74	$141.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $63.27	Professional		$28.50	$28.50	$63.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $56.84 / $108.64	Facility		$33.65	$56.84	$108.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $165.22	Professional		$51.31	$51.31	$165.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $115.45 / $115.45	Professional		$46.18	$115.45	$115.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $73.37 / $141.74	Facility		$73.37	$73.37	$141.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $141.10 / $141.10	Professional		$28.50	$141.10	$141.10
United Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $102.62 / $154.81	Professional		$51.31	$102.62	$154.81