Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $173.78 / $295.12	Facility		$35.48	$173.78	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $79.43	Professional		$19.05	$21.88	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $27.54 / $34.67	Professional		$12.88	$27.54	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $81.28	Facility		$17.38	$17.38	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $72.44 / $95.50	Professional		$22.91	$72.44	$95.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $93.33 / $114.82	Facility		$85.11	$93.33	$114.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $53.70	Professional		$36.31	$53.70	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $23.99	Professional		$12.88	$21.88	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $47.86 / $72.44	Professional		$10.96	$47.86	$72.44