Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.54 / $230.97 / $392.42	Facility		$49.54	$230.97	$392.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $112.12 / $215.21	Professional		$112.12	$112.12	$215.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $92.48 / $92.48	Facility		$92.48	$92.48	$92.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $18.32 / $39.71	Professional		$18.32	$18.32	$39.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.33 / $160.33 / $160.33	Facility		$160.33	$160.33	$160.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $107.77	Professional		$33.47	$33.47	$107.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.15 / $128.86 / $161.87	Facility		$117.15	$128.86	$161.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $75.31 / $75.31	Professional		$30.12	$75.31	$75.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $128.86 / $161.87	Facility		$92.48	$128.86	$161.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $30.12 / $39.71	Professional		$18.32	$30.12	$39.71
United Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $66.94 / $100.41	Professional		$48.86	$66.94	$100.41