Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $156.31 / $265.58	Facility		$33.52	$156.31	$265.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $75.88 / $145.63	Professional		$75.88	$75.88	$145.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Facility		$62.56	$62.56	$62.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.02 / $32.52	Professional		$16.52	$26.02	$32.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $20.53 / $20.53	Facility		$20.53	$20.53	$20.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $22.65 / $90.60	Professional		$22.65	$22.65	$90.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $87.20 / $146.09	Facility		$79.27	$87.20	$146.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $50.96 / $50.96	Professional		$20.39	$50.96	$50.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $20.53 / $79.27	Facility		$20.53	$20.53	$79.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $22.65 / $32.72	Professional		$22.65	$22.65	$32.72
United Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $45.30 / $68.34	Professional		$14.24	$45.30	$68.34