Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.37 / $141.60 / $240.59	Facility		$30.37	$141.60	$240.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $68.73 / $78.67	Professional		$18.85	$68.73	$78.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $56.70 / $56.70	Facility		$56.70	$56.70	$56.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $23.54 / $29.43	Professional		$15.07	$23.54	$29.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $18.61 / $18.61	Facility		$18.61	$18.61	$18.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $20.52 / $82.08	Professional		$20.52	$20.52	$82.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $79.00 / $132.38	Facility		$71.81	$79.00	$132.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $46.17 / $46.17	Professional		$18.47	$46.17	$46.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $18.61 / $71.81	Facility		$18.61	$18.61	$71.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $20.52 / $29.65	Professional		$20.52	$20.52	$29.65
United Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $41.04 / $61.91	Professional		$12.91	$41.04	$61.91