Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $139.80 / $218.44	Facility		$77.39	$139.80	$218.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.32 / $139.80 / $215.31	Professional		$127.32	$139.80	$215.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.47 / $51.47 / $51.47	Facility		$51.47	$51.47	$51.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $26.85	Professional		$21.48	$21.48	$26.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $14.53 / $22.36	Facility		$9.68	$14.53	$22.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $18.63 / $74.52	Professional		$18.63	$18.63	$74.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $68.93 / $74.52	Facility		$65.20	$68.93	$74.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $27.95 / $74.52	Professional		$16.77	$27.95	$74.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $14.53 / $36.33	Facility		$9.68	$14.53	$36.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $18.63 / $51.23	Professional		$17.70	$18.63	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $37.26 / $56.21	Professional		$8.38	$37.26	$56.21