Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $129.58 / $319.74	Facility		$19.36	$129.58	$319.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $57.85 / $57.85	Professional		$57.85	$57.85	$57.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.73 / $47.73 / $47.73	Facility		$47.73	$47.73	$47.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $19.82 / $24.78	Professional		$8.89	$19.82	$24.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $34.26 / $34.26	Facility		$34.26	$34.26	$34.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $69.08	Professional		$17.27	$17.27	$69.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $63.90 / $69.08	Facility		$60.45	$63.90	$69.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $25.91 / $69.08	Professional		$15.54	$25.91	$69.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $34.26 / $34.26	Facility		$34.26	$34.26	$34.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $17.27 / $47.49	Professional		$16.41	$17.27	$47.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $34.54 / $52.11	Professional		$7.77	$34.54	$52.11