Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.18 / $178.05 / $302.51	Facility		$38.18	$178.05	$302.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $86.43 / $98.92	Professional		$23.69	$86.43	$98.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.27 / $71.27 / $71.27	Facility		$71.27	$71.27	$71.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $29.74 / $37.17	Professional		$18.88	$29.74	$37.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $23.39 / $23.39	Facility		$23.39	$23.39	$23.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $25.80 / $103.20	Professional		$25.80	$25.80	$103.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.30 / $99.33 / $148.13	Facility		$90.30	$99.33	$148.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $58.05 / $58.05	Professional		$23.22	$58.05	$58.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $23.39 / $90.30	Facility		$23.39	$23.39	$90.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $23.14 / $25.80	Professional		$20.71	$23.14	$25.80
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $51.60 / $77.84	Professional		$16.22	$51.60	$77.84