Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $187.09 / $317.87	Facility		$40.11	$187.09	$317.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $90.82 / $174.32	Professional		$90.82	$90.82	$174.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.89 / $74.89 / $74.89	Facility		$74.89	$74.89	$74.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $31.39 / $39.24	Professional		$12.52	$31.39	$39.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.47 / $11.47	Facility		$11.47	$11.47	$11.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $27.11 / $87.29	Professional		$27.11	$27.11	$87.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $100.31 / $116.51	Facility		$94.88	$100.31	$116.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $40.67 / $108.44	Professional		$24.40	$40.67	$108.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.47 / $94.88	Facility		$11.47	$11.47	$94.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $27.11 / $74.55	Professional		$23.35	$27.11	$74.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $54.22 / $81.80	Professional		$11.08	$54.22	$81.80