Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $159.63 / $271.22	Facility		$34.22	$159.63	$271.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $77.48 / $148.72	Professional		$77.48	$77.48	$148.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $63.88 / $63.88	Facility		$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $28.98 / $54.00	Professional		$26.85	$28.98	$54.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $25.03 / $25.03	Facility		$25.03	$25.03	$25.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $23.13 / $92.52	Professional		$23.13	$23.13	$92.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $89.05 / $144.29	Facility		$80.95	$89.05	$144.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $52.04 / $52.04	Professional		$20.82	$52.04	$52.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $25.03 / $80.95	Facility		$25.03	$25.03	$80.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $28.92 / $32.29	Professional		$23.13	$28.92	$32.29
United Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $46.26 / $69.79	Professional		$14.06	$46.26	$69.79