Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $165.96 / $251.19	Facility		$40.74	$165.96	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $72.44	Professional		$16.98	$19.95	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.12 / $31.62	Professional		$16.22	$25.12	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.88 / $213.80	Facility		$19.05	$21.88	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $87.10	Professional		$21.88	$21.88	$87.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $85.11 / $141.25	Facility		$77.62	$85.11	$141.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $109.65	Professional		$40.74	$48.98	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $28.18	Professional		$16.22	$21.88	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $43.65 / $66.07	Professional		$13.80	$43.65	$66.07