Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $168.94 / $287.04	Facility		$36.22	$168.94	$287.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $82.01 / $157.41	Professional		$82.01	$82.01	$157.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $67.62 / $67.62	Facility		$67.62	$67.62	$67.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $28.08 / $35.11	Professional		$9.61	$28.08	$35.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $17.82 / $17.82	Facility		$17.82	$17.82	$17.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $24.48 / $97.92	Professional		$24.48	$24.48	$97.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.88 / $85.68 / $97.92	Facility		$71.88	$85.68	$97.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $55.08 / $55.08	Professional		$22.03	$55.08	$55.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $17.82 / $71.88	Facility		$17.82	$17.82	$71.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $19.05 / $24.48	Professional		$17.05	$19.05	$24.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $48.96 / $73.86	Professional		$8.28	$48.96	$73.86