Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $129.63 / $219.25	Facility		$48.02	$129.63	$219.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $63.55 / $79.43	Professional		$17.41	$63.55	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $52.40 / $52.40	Facility		$52.40	$52.40	$52.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $21.89 / $27.36	Professional		$13.98	$21.89	$27.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $17.21 / $17.21	Facility		$17.21	$17.21	$17.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $75.88	Professional		$18.97	$18.97	$75.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.40 / $73.03 / $122.39	Facility		$66.40	$73.03	$122.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $42.68 / $42.68	Professional		$17.07	$42.68	$42.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $17.21 / $66.40	Facility		$17.21	$17.21	$66.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $27.41	Professional		$18.97	$18.97	$27.41
United Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $37.94 / $57.24	Professional		$11.93	$37.94	$57.24