Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $208.93 / $354.81	Facility		$43.65	$208.93	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $97.72	Professional		$22.91	$28.18	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $34.67	Professional		$15.14	$15.14	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $97.72 / $208.93	Facility		$29.51	$97.72	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $87.10 / $93.33	Professional		$26.30	$87.10	$93.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $112.20 / $134.90	Facility		$102.33	$112.20	$134.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $81.28 / $141.25	Facility		$23.44	$81.28	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.30 / $34.67	Professional		$15.14	$26.30	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $43.65 / $89.13	Professional		$17.38	$43.65	$89.13