Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $151.27 / $257.01	Facility		$32.44	$151.27	$257.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $73.43 / $140.94	Professional		$73.43	$73.43	$140.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $60.56 / $60.56	Facility		$60.56	$60.56	$60.56
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 $105.00 / $105.00 / $105.00	Facility		$105.00	$105.00	$105.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $21.92 / $70.58	Professional		$21.92	$21.92	$70.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.72 / $84.39 / $129.35	Facility		$76.72	$84.39	$129.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $49.32 / $49.32	Professional		$19.73	$49.32	$49.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $84.39 / $129.35	Facility		$60.56	$84.39	$129.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $20.05 / $31.52	Professional		$14.70	$20.05	$31.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $49.52 / $66.14	Professional		$28.02	$49.52	$66.14