Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $158.52 / $269.33	Facility		$34.00	$158.52	$269.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $76.95 / $147.69	Professional		$76.95	$76.95	$147.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $63.45 / $63.45	Facility		$63.45	$63.45	$63.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $26.43 / $33.04	Professional		$12.71	$26.43	$33.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $16.73 / $16.73	Facility		$16.73	$16.73	$16.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $91.88	Professional		$22.97	$22.97	$91.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.40 / $88.43 / $111.01	Facility		$80.40	$88.43	$111.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $51.68 / $51.68	Professional		$20.67	$51.68	$51.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $16.73 / $80.40	Facility		$16.73	$16.73	$80.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $22.25 / $24.87	Professional		$20.67	$22.25	$24.87
United Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $45.94 / $69.31	Professional		$10.82	$45.94	$69.31