Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $166.04 / $282.10	Facility		$35.61	$166.04	$282.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $80.59 / $154.71	Professional		$80.59	$80.59	$154.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.47 / $66.47 / $66.47	Facility		$66.47	$66.47	$66.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $27.67 / $34.59	Professional		$12.89	$27.67	$34.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Facility		$17.52	$17.52	$17.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $24.06 / $96.24	Professional		$24.06	$24.06	$96.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.21 / $92.63 / $113.81	Facility		$84.21	$92.63	$113.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $54.14 / $54.14	Professional		$21.65	$54.14	$54.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $84.21	Facility		$17.52	$17.52	$84.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $22.81 / $25.49	Professional		$21.65	$22.81	$25.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $48.12 / $72.59	Professional		$11.09	$48.12	$72.59