Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.20 / $150.16 / $255.15	Facility		$32.20	$150.16	$255.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $72.90 / $139.91	Professional		$72.90	$72.90	$139.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.10 / $60.10 / $60.10	Facility		$60.10	$60.10	$60.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $24.78 / $30.98	Professional		$8.71	$24.78	$30.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $10.88	Facility		$10.88	$10.88	$10.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $21.76 / $70.06	Professional		$21.76	$21.76	$70.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $32.64 / $87.04	Professional		$19.57	$32.64	$87.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $10.88	Facility		$10.88	$10.88	$10.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $21.76 / $59.84	Professional		$15.50	$21.76	$59.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $43.52 / $65.65	Professional		$7.54	$43.52	$65.65