Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $76.84 / $156.04	Facility		$52.29	$76.84	$156.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $49.75	Professional		$45.22	$45.23	$49.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $97.58 / $97.58	Facility		$97.58	$97.58	$97.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $40.60 / $50.75	Professional		$19.60	$40.60	$50.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $45.23	Facility		$45.23	$45.23	$45.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $141.32	Professional		$35.33	$35.33	$141.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $53.00 / $79.48	Professional		$31.80	$53.00	$79.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $45.23	Facility		$45.23	$45.23	$45.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $35.33 / $124.38	Professional		$33.56	$35.33	$124.38
United Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $100.52 / $152.19	Professional		$20.30	$100.52	$152.19