Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $125.89 / $194.98	Facility		$69.18	$125.89	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $52.48	Professional		$12.02	$15.14	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $22.91	Professional		$18.20	$18.20	$22.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.85 / $72.44	Facility		$11.75	$15.85	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $52.48	Professional		$15.85	$28.84	$52.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $58.88 / $64.57	Facility		$56.23	$58.88	$64.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $36.31	Professional		$23.99	$36.31	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $13.18 / $29.51	Facility		$10.47	$13.18	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.85	Professional		$15.14	$15.14	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $32.36 / $47.86	Professional		$7.24	$32.36	$47.86