Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $165.96 / $239.88	Facility		$95.50	$165.96	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $67.61	Professional		$15.85	$19.05	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $29.51	Professional		$14.79	$23.44	$29.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.42 / $131.83	Facility		$18.20	$20.42	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $81.28	Professional		$20.42	$20.42	$81.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $77.62 / $131.83	Facility		$70.79	$77.62	$131.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $100.00	Professional		$37.15	$45.71	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $26.30	Professional		$14.79	$20.42	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $40.74 / $61.66	Professional		$12.59	$40.74	$61.66