Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.05 / $183.17 / $271.73	Facility		$110.05	$183.17	$271.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $84.65 / $96.89	Professional		$23.21	$84.65	$96.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.83 / $69.83 / $69.83	Facility		$69.83	$69.83	$69.83
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 $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $101.08	Professional		$25.27	$25.27	$101.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.45 / $97.29 / $163.01	Facility		$88.45	$97.29	$163.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $56.86 / $56.86	Professional		$22.74	$56.86	$56.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $88.45	Facility		$22.91	$22.91	$88.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $32.67 / $36.51	Professional		$25.27	$32.67	$36.51
United Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $50.54 / $76.23	Professional		$15.89	$50.54	$76.23