Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.78 / $174.48 / $295.08	Facility		$37.78	$174.48	$295.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $85.53 / $97.88	Professional		$23.50	$85.53	$97.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.51 / $70.51 / $70.51	Facility		$70.51	$70.51	$70.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $29.32 / $36.65	Professional		$18.70	$29.32	$36.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $22.24 / $22.24	Facility		$22.24	$22.24	$22.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $25.53 / $102.12	Professional		$25.53	$25.53	$102.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.36 / $98.29 / $164.67	Facility		$89.36	$98.29	$164.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $57.44 / $57.44	Professional		$22.98	$57.44	$57.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $22.24 / $89.36	Facility		$22.24	$22.24	$89.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $33.00 / $36.88	Professional		$25.53	$33.00	$36.88
United Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $51.06 / $77.03	Professional		$16.05	$51.06	$77.03