Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $136.77 / $227.28	Facility		$83.31	$136.77	$227.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $79.19 / $90.64	Professional		$21.25	$79.19	$90.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $65.31 / $65.31	Facility		$65.31	$65.31	$65.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $27.26 / $34.07	Professional		$16.88	$27.26	$34.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Facility		$20.99	$20.99	$20.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $23.64 / $94.56	Professional		$23.64	$23.64	$94.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.74 / $91.01 / $149.26	Facility		$82.74	$91.01	$149.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $53.19 / $53.19	Professional		$21.28	$53.19	$53.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $82.74	Facility		$20.99	$20.99	$82.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $26.48 / $29.59	Professional		$23.15	$26.48	$29.59
United Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $47.28 / $71.33	Professional		$14.55	$47.28	$71.33