Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $172.56 / $451.06	Facility		$73.98	$172.56	$451.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $84.59 / $84.59	Professional		$23.19	$84.59	$84.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Facility		$69.73	$69.73	$69.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $28.91 / $36.14	Professional		$18.51	$28.91	$36.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Facility		$22.02	$22.02	$22.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $25.25 / $101.00	Professional		$25.25	$25.25	$101.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.38 / $97.21 / $162.87	Facility		$88.38	$97.21	$162.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $56.81 / $318.75	Professional		$22.73	$56.81	$318.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $88.38	Facility		$22.02	$22.02	$88.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $25.25 / $36.47	Professional		$25.25	$25.25	$36.47
United Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $50.50 / $76.18	Professional		$15.88	$50.50	$76.18