Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $179.90 / $305.66	Facility		$38.58	$179.90	$305.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $87.33 / $167.63	Professional		$87.33	$87.33	$167.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.04 / $72.04 / $72.04	Facility		$72.04	$72.04	$72.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $41.35	Professional		$19.05	$19.05	$41.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.88 / $124.88 / $124.88	Facility		$124.88	$124.88	$124.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $26.07 / $83.95	Professional		$26.07	$26.07	$83.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.25 / $100.37 / $168.18	Facility		$91.25	$100.37	$168.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $58.66 / $58.66	Professional		$23.46	$58.66	$58.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.04 / $100.37 / $168.18	Facility		$72.04	$100.37	$168.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.07 / $41.35	Professional		$19.05	$26.07	$41.35
United Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $64.36 / $78.66	Professional		$36.42	$64.36	$78.66