Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $113.53 / $253.20	Facility		$40.95	$113.53	$253.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $87.33 / $87.33	Professional		$23.98	$87.33	$87.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.04 / $72.04 / $72.04	Facility		$72.04	$72.04	$72.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.15 / $37.69	Professional		$19.05	$30.15	$37.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Facility		$23.63	$23.63	$23.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $26.07 / $104.28	Professional		$26.07	$26.07	$104.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.25 / $100.37 / $168.18	Facility		$91.25	$100.37	$168.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $58.66 / $266.50	Professional		$23.46	$58.66	$266.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $23.63 / $91.25	Facility		$23.63	$23.63	$91.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $26.07 / $31.02	Professional		$26.07	$26.07	$31.02
United Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $52.14 / $78.66	Professional		$16.39	$52.14	$78.66