Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.98 / $205.95 / $585.55	Facility		$88.98	$205.95	$585.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $71.76 / $137.72	Professional		$71.76	$71.76	$137.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $59.16 / $59.16	Facility		$59.16	$59.16	$59.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $15.79 / $33.97	Professional		$15.79	$15.79	$33.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.62 / $102.62 / $102.62	Facility		$102.62	$102.62	$102.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $21.42 / $68.97	Professional		$21.42	$21.42	$68.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.97 / $82.47 / $138.12	Facility		$74.97	$82.47	$138.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $48.20 / $48.20	Professional		$19.28	$48.20	$48.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $82.47 / $138.12	Facility		$59.16	$82.47	$138.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $21.42 / $33.97	Professional		$15.79	$21.42	$33.97
United Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $52.88 / $64.26	Professional		$41.70	$52.88	$64.26