Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $126.98 / $215.74	Facility		$76.43	$126.98	$215.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $61.64 / $61.64	Professional		$61.64	$61.64	$61.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $50.83 / $50.83	Facility		$50.83	$50.83	$50.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $21.06 / $26.33	Professional		$21.06	$21.06	$26.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $13.98 / $22.08	Facility		$9.57	$13.98	$22.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $73.59	Professional		$18.39	$18.39	$73.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.08 / $70.84 / $73.59	Facility		$68.08	$70.84	$73.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $27.60 / $73.59	Professional		$16.55	$27.60	$73.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $14.17 / $35.88	Facility		$9.57	$14.17	$35.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $18.39 / $50.60	Professional		$17.48	$18.39	$50.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $36.79 / $55.52	Professional		$8.27	$36.79	$55.52