Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $141.25 / $223.87	Facility		$77.62	$141.25	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $60.26	Professional		$14.13	$16.98	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $25.70	Professional		$20.42	$20.42	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.20 / $60.26	Facility		$12.02	$18.20	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $58.88	Professional		$18.20	$18.20	$58.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $67.61 / $72.44	Facility		$63.10	$67.61	$72.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $40.74	Professional		$26.92	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.79 / $33.11	Facility		$12.02	$14.79	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $18.20	Professional		$17.38	$17.38	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $36.31 / $54.95	Professional		$8.13	$36.31	$54.95