Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $185.71 / $315.52	Facility		$39.83	$185.71	$315.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.15 / $90.15 / $173.03	Professional		$90.15	$90.15	$173.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $74.33 / $74.33	Facility		$74.33	$74.33	$74.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $13.98 / $29.89	Professional		$13.98	$13.98	$29.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.91 / $128.91 / $128.91	Facility		$128.91	$128.91	$128.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $26.91 / $86.65	Professional		$24.22	$26.91	$86.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $103.52 / $122.58	Facility		$94.19	$103.52	$122.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $60.55 / $60.55	Professional		$24.22	$60.55	$60.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $103.52 / $128.91	Facility		$74.33	$103.52	$128.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $24.22 / $29.89	Professional		$13.98	$24.22	$29.89
United Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $53.82 / $80.73	Professional		$36.97	$53.82	$80.73