Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $398.11	Facility		$295.12	$295.12	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $37.15	Professional		$20.89	$25.70	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $31.62	Professional		$21.88	$21.88	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $37.15 / $41.69	Facility		$11.48	$37.15	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $41.69 / $123.03	Professional		$38.90	$41.69	$123.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $42.66 / $44.67	Facility		$34.67	$42.66	$44.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $43.65	Professional		$34.67	$42.66	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $42.66	Facility		$11.48	$11.48	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $60.26	Professional		$21.88	$30.20	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $20.42	Facility		$17.78	$17.78	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $107.15	Professional		$20.89	$32.36	$107.15