Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.19 / $231.57 / $361.83	Facility		$128.19	$231.57	$361.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $103.38 / $118.32	Professional		$21.12	$103.38	$118.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.26 / $85.26 / $85.26	Facility		$85.26	$85.26	$85.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $35.52 / $44.40	Professional		$16.88	$35.52	$44.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $22.47 / $22.47	Facility		$22.47	$22.47	$22.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $123.44	Professional		$30.86	$30.86	$123.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.01 / $118.81 / $147.97	Facility		$108.01	$118.81	$147.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $47.21 / $123.44	Professional		$27.77	$47.21	$123.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $22.47 / $108.01	Facility		$22.47	$22.47	$108.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $30.86 / $84.87	Professional		$27.77	$30.86	$84.87
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $61.72 / $93.11	Professional		$15.08	$61.72	$93.11