Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.16 / $194.74 / $282.70	Facility		$100.16	$194.74	$282.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $80.77 / $80.77	Professional		$16.60	$80.77	$80.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $66.59 / $66.59	Facility		$66.59	$66.59	$66.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $28.08 / $35.11	Professional		$13.25	$28.08	$35.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Facility		$17.55	$17.55	$17.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $24.11 / $77.63	Professional		$24.11	$24.11	$77.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $92.82 / $116.51	Facility		$84.38	$92.82	$116.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $54.25 / $54.25	Professional		$21.70	$54.25	$54.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $17.55 / $84.38	Facility		$17.55	$17.55	$84.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $23.35 / $26.08	Professional		$21.70	$23.35	$26.08
United Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $48.22 / $72.73	Professional		$11.35	$48.22	$72.73