Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.01 / $149.54 / $254.07	Facility		$90.01	$149.54	$254.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $72.59 / $139.34	Professional		$72.59	$72.59	$139.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.88 / $59.88 / $59.88	Facility		$59.88	$59.88	$59.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $24.78 / $30.98	Professional		$9.08	$24.78	$30.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $15.78 / $15.78	Facility		$15.78	$15.78	$15.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $65.01 / $86.68	Professional		$21.67	$65.01	$86.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $80.18 / $86.68	Facility		$72.23	$80.18	$86.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.51 / $86.68	Professional		$19.50	$32.51	$86.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $15.78 / $72.23	Facility		$15.78	$15.78	$72.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $21.67 / $59.59	Professional		$17.14	$21.67	$59.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $43.34 / $65.38	Professional		$8.14	$43.34	$65.38