Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $174.13 / $294.49	Facility		$37.71	$174.13	$294.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $85.36 / $97.69	Professional		$23.39	$85.36	$97.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Facility		$70.38	$70.38	$70.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $29.32 / $36.65	Professional		$18.70	$29.32	$36.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Facility		$23.10	$23.10	$23.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $25.48 / $101.92	Professional		$25.48	$25.48	$101.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $98.10 / $148.36	Facility		$89.18	$98.10	$148.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $57.33 / $57.33	Professional		$22.93	$57.33	$57.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $89.18	Facility		$23.10	$23.10	$89.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $23.11 / $25.48	Professional		$20.69	$23.11	$25.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $50.96 / $76.88	Professional		$16.02	$50.96	$76.88