Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.43 / $158.16 / $343.61	Facility		$77.43	$158.16	$343.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $17.42 / $62.44	Professional		$15.47	$17.42	$62.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.51 / $51.51 / $51.51	Facility		$51.51	$51.51	$51.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $21.48 / $26.85	Professional		$9.98	$21.48	$26.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Facility		$13.58	$13.58	$13.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.64 / $74.56	Professional		$18.64	$18.64	$74.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $71.76 / $88.35	Facility		$65.23	$71.76	$88.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $41.94 / $437.50	Professional		$16.78	$41.94	$437.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $65.23	Facility		$13.58	$13.58	$65.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $17.71 / $18.64	Professional		$16.78	$17.71	$18.64
United Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $37.28 / $56.24	Professional		$8.39	$37.28	$56.24