Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.22 / $85.30 / $176.74	Facility		$63.22	$85.30	$176.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $30.81 / $51.08	Professional		$13.80	$30.81	$51.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.90 / $178.90 / $178.90	Facility		$178.90	$178.90	$178.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $23.63 / $79.55	Professional		$20.19	$23.63	$79.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $35.81 / $51.08	Facility		$15.52	$35.81	$51.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $64.39 / $82.06	Professional		$42.67	$64.39	$82.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $40.15 / $3,495.87	Facility		$40.15	$40.15	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $46.23 / $100.45	Professional		$33.36	$46.23	$100.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $37.40 / $178.90	Facility		$15.52	$37.40	$178.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $44.00 / $100.00	Professional		$29.70	$44.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $63.64 / $108.25	Professional		$54.81	$63.64	$108.25