Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.66 / $147.43 / $310.67	Facility		$111.66	$147.43	$310.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $90.05 / $172.84	Professional		$26.38	$90.05	$172.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.25 / $74.25 / $74.25	Facility		$74.25	$74.25	$74.25
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 $128.77 / $128.77 / $128.77	Facility		$128.77	$128.77	$128.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $26.88 / $86.55	Professional		$26.88	$26.88	$86.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.08 / $103.49 / $129.35	Facility		$94.08	$103.49	$129.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $60.48 / $60.48	Professional		$24.19	$60.48	$60.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.25 / $103.49 / $129.35	Facility		$74.25	$103.49	$129.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $24.19 / $31.52	Professional		$14.70	$24.19	$31.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $53.76 / $81.09	Professional		$28.02	$53.76	$81.09