Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $94.31 / $284.58	Facility		$17.09	$94.31	$284.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $38.95 / $104.11	Professional		$34.57	$38.95	$104.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.77 / $81.77 / $81.77	Facility		$81.77	$81.77	$81.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $34.28 / $42.85	Professional		$21.78	$34.28	$42.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $80.06	Facility		$25.81	$25.81	$80.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $118.40	Professional		$29.60	$29.60	$118.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.60 / $113.96 / $190.97	Facility		$103.60	$113.96	$190.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $66.59 / $342.50	Professional		$26.64	$66.59	$342.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $103.60	Facility		$25.81	$25.81	$103.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $31.03	Professional		$29.60	$29.60	$31.03
United Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $59.20 / $73.09	Professional		$18.61	$59.20	$73.09