Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $170.76 / $325.95	Facility		$80.09	$170.76	$325.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $93.13 / $106.59	Professional		$25.53	$93.13	$106.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $76.80 / $76.80	Facility		$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $31.80 / $39.75	Professional		$20.32	$31.80	$39.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $25.22 / $25.22	Facility		$25.22	$25.22	$25.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $27.80 / $111.20	Professional		$27.80	$27.80	$111.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.30 / $107.03 / $179.36	Facility		$97.30	$107.03	$179.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $62.55 / $62.55	Professional		$25.02	$62.55	$62.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $25.22 / $97.30	Facility		$25.22	$25.22	$97.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $35.95 / $40.17	Professional		$27.80	$35.95	$40.17
United Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $55.60 / $83.88	Professional		$17.48	$55.60	$83.88