Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $44.44 / $130.77	Facility		$38.38	$44.44	$130.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $44.44 / $100.59	Professional		$14.09	$44.44	$100.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $50.02 / $50.02	Facility		$50.02	$50.02	$50.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $27.77 / $46.28	Professional		$12.86	$27.77	$46.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.20 / $124.20 / $143.84	Facility		$124.20	$124.20	$143.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $56.60 / $98.00	Professional		$31.83	$56.60	$98.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $87.50 / $124.95	Professional		$70.00	$87.50	$124.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $124.20 / $143.84	Facility		$50.02	$124.20	$143.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $85.50 / $132.53	Professional		$22.28	$85.50	$132.53
United Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $64.30 / $95.40	Professional		$59.43	$64.30	$95.40