Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $235.95 / $400.89	Facility		$50.60	$235.95	$400.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $219.84	Professional		$114.54	$114.54	$219.84
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 $17.61 / $39.24 / $49.04	Professional		$17.61	$39.24	$49.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Facility		$28.61	$28.61	$28.61
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 / $126.50 / $136.76	Facility		$119.66	$126.50	$136.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $52.59 / $140.24	Professional		$30.77	$52.59	$140.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Facility		$28.61	$28.61	$28.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $34.19 / $94.02	Professional		$31.55	$34.19	$94.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $68.38 / $103.16	Professional		$15.78	$68.38	$103.16