Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $164.78 / $405.55	Facility		$84.44	$164.78	$405.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $117.55 / $123.42	Professional		$40.99	$117.55	$123.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $96.94 / $96.94	Facility		$96.94	$96.94	$96.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $40.06 / $50.08	Professional		$25.77	$40.06	$50.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $30.18 / $54.60	Facility		$25.55	$30.18	$54.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $112.99	Professional		$35.09	$35.09	$112.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.82 / $135.10 / $226.38	Facility		$122.82	$135.10	$226.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $72.20 / $173.32	Professional		$31.58	$72.20	$173.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $31.42 / $68.43	Facility		$25.55	$31.42	$68.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.37 / $96.50	Professional		$35.09	$45.37	$96.50
United Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $70.18 / $105.87	Professional		$22.62	$70.18	$105.87