Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $153.90 / $275.02	Facility		$86.44	$153.90	$275.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $71.12 / $88.90	Professional		$19.50	$71.12	$88.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Facility		$58.65	$58.65	$58.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $24.37 / $30.46	Professional		$15.61	$24.37	$30.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $18.51 / $18.51	Facility		$18.51	$18.51	$18.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $84.92	Professional		$21.23	$21.23	$84.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $81.73 / $136.94	Facility		$74.31	$81.73	$136.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $47.77 / $287.50	Professional		$19.11	$47.77	$287.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $18.51 / $74.31	Facility		$18.51	$18.51	$74.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $27.45 / $30.67	Professional		$21.23	$27.45	$30.67
United Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $42.46 / $64.06	Professional		$13.35	$42.46	$64.06