Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $162.18 / $275.42	Facility		$33.88	$162.18	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $75.86	Professional		$18.20	$20.89	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $32.36	Professional		$16.60	$26.30	$32.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $22.91	Facility		$20.42	$20.42	$22.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $91.20	Professional		$22.91	$22.91	$91.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $87.10 / $144.54	Facility		$79.43	$87.10	$144.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $51.29	Professional		$41.69	$51.29	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $29.51	Professional		$16.60	$22.91	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $45.71 / $67.61	Professional		$14.13	$45.71	$67.61