Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.11 / $150.46 / $201.88	Facility		$71.11	$150.46	$201.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $57.35 / $71.68	Professional		$15.71	$57.35	$71.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.30 / $47.30 / $47.30	Facility		$47.30	$47.30	$47.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $19.82 / $24.78	Professional		$12.52	$19.82	$24.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $14.94 / $14.94	Facility		$14.94	$14.94	$14.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $17.12 / $68.48	Professional		$17.12	$17.12	$68.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $65.91 / $110.49	Facility		$59.92	$65.91	$110.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $38.52 / $38.52	Professional		$15.41	$38.52	$38.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $14.94 / $59.92	Facility		$14.94	$14.94	$59.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $17.13 / $22.14	Professional		$17.12	$17.13	$22.14
United Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $34.24 / $51.65	Professional		$10.77	$34.24	$51.65