Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.34 / $183.42 / $311.64	Facility		$39.34	$183.42	$311.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $89.04 / $170.91	Professional		$89.04	$89.04	$170.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.44 / $73.44 / $73.44	Facility		$73.44	$73.44	$73.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $30.56 / $38.20	Professional		$19.42	$30.56	$38.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $24.10 / $24.10	Facility		$24.10	$24.10	$24.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $26.58 / $106.32	Professional		$26.58	$26.58	$106.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $102.33 / $171.45	Facility		$93.03	$102.33	$171.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $59.81 / $59.81	Professional		$23.92	$59.81	$59.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $24.10 / $93.03	Facility		$24.10	$24.10	$93.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $26.58 / $34.36	Professional		$26.58	$26.58	$34.36
United Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $53.16 / $80.20	Professional		$16.71	$53.16	$80.20