Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $188.33 / $319.97	Facility		$40.39	$188.33	$319.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $91.42 / $175.48	Professional		$91.42	$91.42	$175.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.40 / $75.40 / $75.40	Facility		$75.40	$75.40	$75.40
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 $130.72 / $130.72 / $130.72	Facility		$130.72	$130.72	$130.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $27.29 / $87.87	Professional		$27.29	$27.29	$87.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $105.07 / $129.35	Facility		$95.52	$105.07	$129.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $61.40 / $61.40	Professional		$24.56	$61.40	$61.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.40 / $105.07 / $130.72	Facility		$75.40	$105.07	$130.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $24.56 / $31.52	Professional		$14.70	$24.56	$31.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $54.58 / $82.34	Professional		$28.02	$54.58	$82.34