Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $93.33 / $169.82	Facility		$39.81	$93.33	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $60.26	Professional		$14.13	$15.85	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.42 / $25.70	Professional		$13.18	$20.42	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $17.78 / $162.18	Facility		$16.22	$17.78	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $72.44	Professional		$17.78	$17.78	$72.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $69.18 / $114.82	Facility		$63.10	$69.18	$114.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $89.13	Professional		$33.11	$40.74	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $23.44	Professional		$13.18	$17.78	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $36.31 / $53.70	Professional		$11.22	$36.31	$53.70