Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.62 / $100.74 / $218.43	Facility		$57.62	$100.74	$218.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $70.65 / $80.86	Professional		$14.22	$70.65	$80.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.27 / $58.27 / $58.27	Facility		$58.27	$58.27	$58.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $24.37 / $30.46	Professional		$11.44	$24.37	$30.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $15.36 / $15.36	Facility		$15.36	$15.36	$15.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $21.09 / $84.36	Professional		$21.09	$21.09	$84.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $81.20 / $99.97	Facility		$73.81	$81.20	$99.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $47.45 / $47.45	Professional		$18.98	$47.45	$47.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $15.36 / $73.81	Facility		$15.36	$15.36	$73.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $20.04 / $22.39	Professional		$18.98	$20.04	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $42.18 / $63.63	Professional		$9.74	$42.18	$63.63