Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $146.69 / $378.74	Facility		$58.40	$146.69	$378.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $109.78 / $109.78	Professional		$30.63	$109.78	$109.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.53 / $90.53 / $90.53	Facility		$90.53	$90.53	$90.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $37.58 / $46.98	Professional		$16.70	$37.58	$46.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $23.87 / $23.87	Facility		$23.87	$23.87	$23.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $32.77 / $131.08	Professional		$32.77	$32.77	$131.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.33 / $155.33 / $155.33	Facility		$155.33	$155.33	$155.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $49.55 / $131.08	Professional		$29.49	$49.55	$131.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $23.87 / $23.87	Facility		$23.87	$23.87	$23.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $32.77 / $90.12	Professional		$31.13	$32.77	$90.12
United Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $65.54 / $98.87	Professional		$14.75	$65.54	$98.87