Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.81 / $176.32 / $299.57	Facility		$37.81	$176.32	$299.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $85.59 / $97.96	Professional		$22.96	$85.59	$97.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $70.59 / $70.59	Facility		$70.59	$70.59	$70.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $29.32 / $36.65	Professional		$18.32	$29.32	$36.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $22.67 / $22.67	Facility		$22.67	$22.67	$22.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $102.20	Professional		$25.55	$25.55	$102.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.43 / $98.37 / $161.30	Facility		$89.43	$98.37	$161.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $57.49 / $57.49	Professional		$23.00	$57.49	$57.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $22.67 / $89.43	Facility		$22.67	$22.67	$89.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $32.33 / $36.13	Professional		$25.00	$32.33	$36.13
United Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $51.10 / $77.09	Professional		$15.72	$51.10	$77.09