Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $124.57 / $211.65	Facility		$71.37	$124.57	$211.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $60.47 / $69.20	Professional		$16.60	$60.47	$69.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $49.85 / $49.85	Facility		$49.85	$49.85	$49.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $20.65 / $25.81	Professional		$13.25	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $15.74 / $15.74	Facility		$15.74	$15.74	$15.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $72.20	Professional		$18.05	$18.05	$72.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $69.48 / $116.46	Facility		$63.18	$69.48	$116.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $40.61 / $40.61	Professional		$16.25	$40.61	$40.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $15.74 / $63.18	Facility		$15.74	$15.74	$63.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $23.34 / $26.08	Professional		$18.05	$23.34	$26.08
United Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $36.10 / $54.46	Professional		$11.35	$36.10	$54.46