Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $215.46 / $366.07	Facility		$46.21	$215.46	$366.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $104.59 / $200.75	Professional		$104.59	$104.59	$200.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.23 / $86.23 / $86.23	Facility		$86.23	$86.23	$86.23
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 $149.56 / $149.56 / $149.56	Facility		$149.56	$149.56	$149.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $100.53	Professional		$31.22	$31.22	$100.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.27 / $115.51 / $129.35	Facility		$109.27	$115.51	$129.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $70.25 / $70.25	Professional		$28.10	$70.25	$70.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.23 / $115.51 / $149.56	Facility		$86.23	$115.51	$149.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $28.10 / $31.52	Professional		$14.70	$28.10	$31.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $62.44 / $94.20	Professional		$28.02	$62.44	$94.20