Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.24 / $280.88 / $477.23	Facility		$60.24	$280.88	$477.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.35 / $136.35 / $261.70	Professional		$136.35	$136.35	$261.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.46 / $112.46 / $112.46	Facility		$112.46	$112.46	$112.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $19.60 / $42.17	Professional		$19.60	$19.60	$42.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $40.70 / $131.05	Professional		$40.70	$40.70	$131.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $150.59 / $172.73	Facility		$142.44	$150.59	$172.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $91.58 / $91.58	Professional		$36.63	$91.58	$91.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.46 / $150.59 / $194.98	Facility		$112.46	$150.59	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $36.63 / $42.17	Professional		$19.60	$36.63	$42.17
United Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $81.40 / $122.10	Professional		$56.27	$81.40	$122.10