Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $162.18 / $275.42	Facility		$33.88	$162.18	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $75.86	Professional		$18.20	$21.88	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $31.62	Professional		$14.79	$14.79	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $102.33	Facility		$22.91	$22.91	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $72.44	Professional		$22.91	$22.91	$72.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $87.10 / $128.82	Facility		$79.43	$87.10	$128.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $48.98 / $109.65	Facility		$18.20	$48.98	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $31.62	Professional		$14.79	$20.42	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $45.71 / $69.18	Professional		$13.80	$45.71	$69.18