Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $162.18 / $338.84	Facility		$154.88	$162.18	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $75.86	Professional		$18.20	$20.89	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.70 / $32.36	Professional		$12.02	$25.70	$32.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $102.33	Facility		$11.22	$11.22	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $89.13	Professional		$20.89	$30.90	$89.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $87.10 / $107.15	Facility		$79.43	$87.10	$107.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $50.12	Professional		$33.88	$50.12	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $22.39	Professional		$12.02	$20.42	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $44.67 / $67.61	Professional		$10.72	$44.67	$67.61