Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $114.82 / $398.11	Facility		$25.12	$114.82	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $114.82	Professional		$26.92	$32.36	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $48.98	Professional		$22.91	$38.90	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $114.82	Facility		$28.84	$28.84	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $138.04	Professional		$33.88	$33.88	$138.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $131.83 / $204.17	Facility		$120.23	$131.83	$204.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $77.62	Professional		$58.88	$77.62	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $40.74	Professional		$22.91	$31.62	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $67.61 / $102.33	Professional		$19.95	$67.61	$102.33