Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $263.03 / $446.68	Facility		$53.70	$263.03	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $123.03	Professional		$28.84	$34.67	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $52.48	Professional		$41.69	$41.69	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $38.02 / $38.02	Facility		$36.31	$38.02	$38.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $147.91	Professional		$36.31	$36.31	$147.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $363.08	Facility		$128.82	$141.25	$363.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $117.49	Professional		$67.61	$83.18	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $72.44	Professional		$36.31	$36.31	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $79.43 / $109.65	Professional		$35.48	$79.43	$109.65