Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $156.99 / $266.74	Facility		$33.67	$156.99	$266.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $76.20 / $146.28	Professional		$26.38	$76.20	$146.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.86 / $62.86 / $62.86	Facility		$62.86	$62.86	$62.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $31.52	Professional		$14.70	$14.70	$31.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.98 / $108.98 / $108.98	Facility		$108.98	$108.98	$108.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $22.75 / $73.26	Professional		$22.75	$22.75	$73.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.63 / $87.59 / $129.35	Facility		$79.63	$87.59	$129.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $51.19 / $51.19	Professional		$20.48	$51.19	$51.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.86 / $87.59 / $129.35	Facility		$62.86	$87.59	$129.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $20.48 / $31.52	Professional		$14.70	$20.48	$31.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $49.52 / $68.64	Professional		$28.02	$49.52	$68.64