Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $295.12 / $501.19	Facility		$60.26	$295.12	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $134.90	Professional		$32.36	$38.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $42.66	Professional		$19.50	$19.50	$42.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $181.97	Facility		$40.74	$40.74	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $131.83	Professional		$38.90	$40.74	$131.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $151.36 / $173.78	Facility		$141.25	$151.36	$173.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $66.07 / $194.98	Facility		$32.36	$66.07	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $36.31 / $42.66	Professional		$19.50	$36.31	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $123.03	Professional		$40.74	$58.88	$123.03