Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.52 / $240.22 / $408.14	Facility		$51.52	$240.22	$408.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $116.61 / $223.83	Professional		$116.61	$116.61	$223.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.18 / $96.18 / $96.18	Facility		$96.18	$96.18	$96.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $23.60 / $50.77	Professional		$23.60	$23.60	$50.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.75 / $166.75 / $166.75	Facility		$166.75	$166.75	$166.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $34.81 / $112.09	Professional		$34.81	$34.81	$112.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.84 / $134.02 / $207.28	Facility		$121.84	$134.02	$207.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $78.31 / $78.31	Professional		$31.33	$78.31	$78.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.18 / $134.02 / $207.28	Facility		$96.18	$134.02	$207.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $32.13 / $50.77	Professional		$23.60	$32.13	$50.77
United Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $79.31 / $104.43	Professional		$62.54	$79.31	$104.43