Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.15 / $145.27 / $246.82	Facility		$31.15	$145.27	$246.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $70.52 / $135.35	Professional		$70.52	$70.52	$135.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.14 / $58.14 / $58.14	Facility		$58.14	$58.14	$58.14
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 $22.78 / $22.78 / $22.78	Facility		$22.78	$22.78	$22.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $84.20	Professional		$21.05	$21.05	$84.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $81.04 / $122.15	Facility		$73.68	$81.04	$122.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $47.36 / $47.36	Professional		$18.95	$47.36	$47.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $22.78 / $73.68	Facility		$22.78	$22.78	$73.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $21.05 / $24.48	Professional		$18.95	$21.05	$24.48
United Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $42.10 / $63.51	Professional		$11.91	$42.10	$63.51