Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.07 / $168.18 / $285.74	Facility		$36.07	$168.18	$285.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $81.64 / $81.64	Professional		$22.44	$81.64	$81.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $67.31 / $67.31	Facility		$67.31	$67.31	$67.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $28.08 / $35.11	Professional		$17.79	$28.08	$35.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Facility		$21.25	$21.25	$21.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $24.37 / $97.48	Professional		$24.37	$24.37	$97.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.30 / $93.82 / $157.22	Facility		$85.30	$93.82	$157.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $54.83 / $54.83	Professional		$21.93	$54.83	$54.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $21.25 / $85.30	Facility		$21.25	$21.25	$85.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $31.51 / $35.21	Professional		$24.37	$31.51	$35.21
United Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $48.74 / $60.18	Professional		$15.32	$48.74	$60.18