Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $135.32 / $229.92	Facility		$29.02	$135.32	$229.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $65.69 / $75.18	Professional		$15.49	$65.69	$75.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $54.19 / $54.19	Facility		$54.19	$54.19	$54.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $22.72 / $28.39	Professional		$12.34	$22.72	$28.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Facility		$15.29	$15.29	$15.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $19.61 / $78.44	Professional		$19.61	$19.61	$78.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $75.50 / $108.78	Facility		$68.63	$75.50	$108.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $44.12 / $44.12	Professional		$17.64	$44.12	$44.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $68.63	Facility		$15.29	$15.29	$68.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $19.61 / $21.80	Professional		$17.64	$19.61	$21.80
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $39.22 / $59.17	Professional		$10.61	$39.22	$59.17