Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.84 / $181.07 / $307.64	Facility		$38.84	$181.07	$307.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $87.90 / $168.72	Professional		$87.90	$87.90	$168.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $72.51 / $72.51	Facility		$72.51	$72.51	$72.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $30.15 / $37.69	Professional		$17.23	$30.15	$37.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $28.39 / $28.39	Facility		$28.39	$28.39	$28.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $26.24 / $104.96	Professional		$26.24	$26.24	$104.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.84 / $101.02 / $152.11	Facility		$91.84	$101.02	$152.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $59.04 / $59.04	Professional		$23.62	$59.04	$59.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $28.39 / $91.84	Facility		$28.39	$28.39	$91.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $26.24 / $30.49	Professional		$23.62	$26.24	$30.49
United Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $52.48 / $79.17	Professional		$14.83	$52.48	$79.17