Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $200.69 / $340.97	Facility		$43.04	$200.69	$340.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $97.42 / $186.98	Professional		$97.42	$97.42	$186.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.33 / $80.33 / $80.33	Facility		$80.33	$80.33	$80.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $33.45 / $41.82	Professional		$18.32	$33.45	$41.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $22.72 / $22.72	Facility		$22.72	$22.72	$22.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $29.08 / $116.32	Professional		$29.08	$29.08	$116.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $111.96 / $161.63	Facility		$101.78	$111.96	$161.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $65.43 / $65.43	Professional		$26.17	$65.43	$65.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $22.72 / $101.78	Facility		$22.72	$22.72	$101.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $27.08 / $30.26	Professional		$26.17	$27.08	$30.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $58.16 / $87.74	Professional		$15.75	$58.16	$87.74