Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.51 / $140.02 / $218.79	Facility		$77.51	$140.02	$218.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $62.51 / $62.51	Professional		$62.51	$62.51	$62.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $51.55 / $51.55	Facility		$51.55	$51.55	$51.55
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 $9.69 / $9.69 / $17.73	Facility		$9.69	$9.69	$17.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $18.66 / $74.64	Professional		$18.66	$18.66	$74.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $71.84 / $74.64	Facility		$69.04	$71.84	$74.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $27.99 / $74.64	Professional		$16.79	$27.99	$74.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $21.46	Facility		$9.69	$9.69	$21.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $18.66 / $51.31	Professional		$17.73	$18.66	$51.31
United Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $37.32 / $56.30	Professional		$8.40	$37.32	$56.30