Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $117.49 / $275.42	Facility		$64.57	$117.49	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $39.81	Professional		$8.91	$10.96	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $16.98	Professional		$13.49	$13.49	$16.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.18 / $162.18	Facility		$12.02	$13.18	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.88 / $47.86	Professional		$12.02	$21.88	$47.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $46.77 / $47.86	Facility		$44.67	$46.77	$47.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $26.92	Professional		$18.20	$26.92	$26.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $12.02	Professional		$11.48	$11.48	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $23.99 / $36.31	Professional		$5.37	$23.99	$36.31