Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $141.25	Facility		$83.18	$85.11	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $61.66	Professional		$40.74	$40.74	$61.66
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 $22.91 / $22.91 / $51.29	Professional		$22.91	$22.91	$51.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $144.54	Facility		$41.69	$41.69	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $131.83	Professional		$41.69	$41.69	$131.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $154.88 / $165.96	Facility		$41.69	$154.88	$165.96
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 $41.69 / $41.69 / $114.82	Facility		$41.69	$41.69	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $51.29	Professional		$22.91	$22.91	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $102.33 / $154.88	Professional		$45.71	$102.33	$154.88