Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $56.40 / $1,085.09	Facility		$56.40	$56.40	$1,085.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Facility		$30.23	$30.23	$30.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $42.78	Professional		$30.23	$30.23	$42.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $56.23 / $78.72	Facility		$30.30	$56.23	$78.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $39.52	Professional		$30.23	$30.23	$39.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $87.06 / $186.69	Facility		$46.00	$87.06	$186.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $59.85 / $65.29	Professional		$45.16	$59.85	$65.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $59.85 / $120.38	Facility		$30.23	$59.85	$120.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $37.88 / $65.29	Professional		$30.23	$37.88	$65.29
United Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $46.18 / $92.00	Professional		$45.35	$46.18	$92.00