Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $144.54 / $229.09	Facility		$81.28	$144.54	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $61.66	Professional		$15.14	$16.98	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $26.92	Professional		$21.38	$21.38	$26.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $18.62 / $89.13	Facility		$9.77	$18.62	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $56.23 / $61.66	Professional		$18.20	$56.23	$61.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $69.18 / $74.13	Facility		$64.57	$69.18	$74.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $41.69	Professional		$28.18	$41.69	$41.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.45 / $33.88	Facility		$9.77	$14.45	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $18.62	Professional		$17.78	$17.78	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $37.15 / $56.23	Professional		$8.32	$37.15	$56.23