Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $218.78 / $251.19	Facility		$147.91	$218.78	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $20.89	Professional		$12.02	$14.13	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Facility		$1.58	$1.58	$1.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $15.14 / $52.48	Professional		$7.24	$15.14	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.38 / $204.17	Facility		$10.00	$17.38	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $83.18	Professional		$10.96	$15.14	$83.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $102.33	Professional		$40.74	$77.62	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.60 / $70.79	Facility		$9.77	$16.60	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $19.05 / $52.48	Professional		$7.24	$19.05	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $45.71 / $54.95	Professional		$8.71	$45.71	$54.95