Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.14 / $124.84 / $212.10	Facility		$75.14	$124.84	$212.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $60.60 / $60.60	Professional		$9.58	$60.60	$60.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $49.98 / $49.98	Facility		$49.98	$49.98	$49.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $25.81	Professional		$20.65	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $14.65 / $22.43	Facility		$11.89	$14.65	$22.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $18.09 / $72.36	Professional		$18.09	$18.09	$72.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $66.93 / $72.36	Facility		$63.32	$66.93	$72.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $27.13 / $72.36	Professional		$16.28	$27.13	$72.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $14.65 / $33.10	Facility		$11.94	$14.65	$33.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $18.09 / $49.75	Professional		$17.19	$18.09	$49.75
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $36.18 / $54.58	Professional		$8.14	$36.18	$54.58