Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $186.21 / $316.23	Facility		$38.90	$186.21	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $87.10	Professional		$20.89	$25.12	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $41.69	Professional		$19.05	$19.05	$41.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $117.49	Facility		$26.30	$26.30	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $83.18	Professional		$26.30	$26.30	$83.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $100.00 / $169.82	Facility		$91.20	$100.00	$169.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $63.10 / $125.89	Facility		$20.89	$63.10	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $41.69	Professional		$19.05	$26.30	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $52.48 / $79.43	Professional		$15.49	$52.48	$79.43