Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $207.24 / $352.10	Facility		$44.44	$207.24	$352.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $100.60 / $193.09	Professional		$100.60	$100.60	$193.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $82.96 / $82.96	Facility		$82.96	$82.96	$82.96
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 $143.86 / $143.86 / $143.86	Facility		$143.86	$143.86	$143.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $30.03 / $96.70	Professional		$30.03	$30.03	$96.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.11 / $111.11 / $129.35	Facility		$105.11	$111.11	$129.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $67.56 / $312.05	Professional		$27.03	$67.56	$312.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $111.11 / $143.86	Facility		$82.96	$111.11	$143.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $27.03 / $31.52	Professional		$14.70	$27.03	$31.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $60.06 / $90.61	Professional		$28.02	$60.06	$90.61