Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $167.71 / $284.94	Facility		$35.96	$167.71	$284.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $81.41 / $156.25	Professional		$81.41	$81.41	$156.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $67.15 / $67.15	Facility		$67.15	$67.15	$67.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $28.08 / $35.11	Professional		$17.79	$28.08	$35.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $26.29 / $26.29	Facility		$26.29	$26.29	$26.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $24.30 / $97.20	Professional		$24.30	$24.30	$97.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.05 / $93.56 / $156.85	Facility		$85.05	$93.56	$156.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $54.68 / $54.68	Professional		$21.87	$54.68	$54.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $26.29 / $85.05	Facility		$26.29	$26.29	$85.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $24.31 / $31.44	Professional		$24.30	$24.31	$31.44
United Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $48.60 / $60.02	Professional		$15.28	$48.60	$60.02