Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $158.31 / $268.98	Facility		$83.43	$158.31	$268.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $76.84 / $87.95	Professional		$21.12	$76.84	$87.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $63.37 / $63.37	Facility		$63.37	$63.37	$63.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $26.43 / $33.04	Professional		$16.88	$26.43	$33.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $20.81	Facility		$20.81	$20.81	$20.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $22.94 / $91.76	Professional		$22.94	$22.94	$91.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $88.32 / $147.97	Facility		$80.29	$88.32	$147.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $51.62 / $51.62	Professional		$20.65	$51.62	$51.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $80.29	Facility		$20.81	$20.81	$80.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $29.66 / $33.15	Professional		$22.94	$29.66	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $45.88 / $69.20	Professional		$14.43	$45.88	$69.20