Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.85 / $194.12 / $258.39	Facility		$82.85	$194.12	$258.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $44.75 / $134.54	Professional		$39.72	$44.75	$134.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $96.94 / $96.94	Facility		$96.94	$96.94	$96.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $24.32 / $54.04	Professional		$24.32	$24.32	$54.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.10 / $168.10 / $168.10	Facility		$168.10	$168.10	$168.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $112.99	Professional		$35.09	$35.09	$112.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.82 / $135.10 / $226.38	Facility		$122.82	$135.10	$226.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $78.95 / $78.95	Professional		$31.58	$78.95	$78.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $135.10 / $226.38	Facility		$96.94	$135.10	$226.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $54.04 / $96.50	Professional		$24.32	$54.04	$96.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $86.66 / $105.87	Professional		$47.87	$86.66	$105.87