Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $124.63 / $211.75	Facility		$26.73	$124.63	$211.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $60.50 / $60.50	Professional		$24.30	$60.50	$60.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.90 / $49.90 / $49.90	Facility		$49.90	$49.90	$49.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $20.65 / $25.81	Professional		$15.25	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $19.54 / $19.54	Facility		$19.54	$19.54	$19.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $72.23	Professional		$18.05	$18.05	$72.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $69.53 / $134.24	Facility		$63.21	$69.53	$134.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $40.64 / $40.64	Professional		$16.25	$40.64	$40.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $19.54 / $63.21	Facility		$19.54	$19.54	$63.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $30.06	Professional		$18.05	$18.05	$30.06
United Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $36.11 / $44.58	Professional		$13.08	$36.11	$44.58