Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.12 / $97.44 / $226.42	Facility		$59.12	$97.44	$226.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $47.30 / $47.30	Professional		$12.96	$47.30	$47.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $39.02 / $39.02	Facility		$39.02	$39.02	$39.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $16.52 / $20.65	Professional		$10.35	$16.52	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $12.82 / $12.82	Facility		$12.82	$12.82	$12.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $56.48	Professional		$14.12	$14.12	$56.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.42 / $54.36 / $91.10	Facility		$49.42	$54.36	$91.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $31.77 / $287.50	Professional		$12.71	$31.77	$287.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $12.82 / $49.42	Facility		$12.82	$12.82	$49.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $18.26	Professional		$14.12	$14.12	$18.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $28.24 / $42.60	Professional		$8.88	$28.24	$42.60