Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $150.30 / $255.36	Facility		$32.22	$150.30	$255.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $72.95 / $140.05	Professional		$72.95	$72.95	$140.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.18 / $60.18 / $60.18	Facility		$60.18	$60.18	$60.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $24.78 / $30.98	Professional		$11.80	$24.78	$30.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $10.89 / $10.89	Facility		$10.89	$10.89	$10.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $21.78 / $87.12	Professional		$21.78	$21.78	$87.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $32.86 / $87.12	Professional		$19.60	$32.86	$87.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $10.89 / $10.89	Facility		$10.89	$10.89	$10.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $21.78 / $59.90	Professional		$18.64	$21.78	$59.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $43.56 / $43.56	Professional		$10.17	$43.56	$43.56