Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $143.16 / $395.16	Facility		$50.60	$143.16	$395.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $114.54 / $143.16	Professional		$29.03	$114.54	$143.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.44 / $94.44	Facility		$94.44	$94.44	$94.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $39.24 / $49.04	Professional		$23.05	$39.24	$49.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $28.60 / $28.60	Facility		$28.60	$28.60	$28.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $34.19 / $136.76	Professional		$34.19	$34.19	$136.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.66 / $131.63 / $203.49	Facility		$119.66	$131.63	$203.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $76.93 / $76.93	Professional		$30.77	$76.93	$76.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $28.60 / $119.66	Facility		$28.60	$28.60	$119.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $40.78 / $45.58	Professional		$31.55	$40.78	$45.58
United Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $68.38 / $103.16	Professional		$19.84	$68.38	$103.16