Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $139.05 / $236.25	Facility		$29.82	$139.05	$236.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $67.50 / $129.56	Professional		$67.50	$67.50	$129.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $55.68 / $55.68	Facility		$55.68	$55.68	$55.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $23.13 / $28.91	Professional		$12.71	$23.13	$28.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Facility		$14.68	$14.68	$14.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $80.59	Professional		$20.14	$20.14	$80.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.52 / $77.58 / $119.31	Facility		$70.52	$77.58	$119.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $38.06 / $91.32	Professional		$18.14	$38.06	$91.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $14.68 / $70.52	Facility		$14.68	$14.68	$70.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $23.91 / $55.41	Professional		$18.50	$23.91	$55.41
United Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $40.29 / $60.80	Professional		$11.35	$40.29	$60.80