Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.27 / $169.15 / $287.39	Facility		$36.27	$169.15	$287.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $82.11 / $93.97	Professional		$22.55	$82.11	$93.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.70 / $67.70 / $67.70	Facility		$67.70	$67.70	$67.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $28.08 / $35.11	Professional		$17.97	$28.08	$35.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $22.21 / $22.21	Facility		$22.21	$22.21	$22.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $24.51 / $98.04	Professional		$24.51	$24.51	$98.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.79 / $94.36 / $158.03	Facility		$85.79	$94.36	$158.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.15 / $55.15	Professional		$22.06	$55.15	$55.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $22.21 / $85.79	Facility		$22.21	$22.21	$85.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $24.51 / $31.67	Professional		$24.51	$24.51	$31.67
United Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $49.02 / $73.95	Professional		$15.40	$49.02	$73.95