Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.48 / $146.78 / $249.38	Facility		$31.48	$146.78	$249.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $71.25 / $136.77	Professional		$71.25	$71.25	$136.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $58.78 / $58.78	Facility		$58.78	$58.78	$58.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $24.37 / $30.46	Professional		$13.98	$24.37	$30.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $23.01 / $23.01	Facility		$23.01	$23.01	$23.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $63.81 / $85.08	Professional		$21.27	$63.81	$85.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $81.89 / $123.38	Facility		$74.45	$81.89	$123.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $47.86 / $47.86	Professional		$19.14	$47.86	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $23.01 / $74.45	Facility		$23.01	$23.01	$74.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $21.27 / $24.73	Professional		$19.14	$21.27	$24.73
United Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $42.54 / $64.18	Professional		$12.03	$42.54	$64.18