Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $106.64 / $294.35	Facility		$37.70	$106.64	$294.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $33.50 / $85.32	Professional		$29.75	$33.50	$85.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Facility		$70.38	$70.38	$70.38
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 $23.09 / $23.09 / $23.09	Facility		$23.09	$23.09	$23.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $101.88	Professional		$25.47	$25.47	$101.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.15 / $98.06 / $164.24	Facility		$89.15	$98.06	$164.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $57.31 / $251.25	Professional		$22.92	$57.31	$251.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $89.15	Facility		$23.09	$23.09	$89.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $36.79	Professional		$25.47	$25.47	$36.79
United Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $50.94 / $76.84	Professional		$16.01	$50.94	$76.84