Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $218.84 / $298.29	Facility		$72.52	$218.84	$298.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $86.46 / $165.96	Professional		$86.46	$86.46	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $71.31 / $71.31	Facility		$71.31	$71.31	$71.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $29.74 / $37.17	Professional		$18.88	$29.74	$37.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $23.39 / $23.39	Facility		$23.39	$23.39	$23.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $25.81 / $103.24	Professional		$25.81	$25.81	$103.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $99.37 / $166.47	Facility		$90.34	$99.37	$166.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $58.07 / $373.75	Professional		$23.23	$58.07	$373.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $23.39 / $90.34	Facility		$23.39	$23.39	$90.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $25.81 / $33.36	Professional		$25.80	$25.81	$33.36
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $51.62 / $77.87	Professional		$16.23	$51.62	$77.87