Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $142.51 / $242.13	Facility		$30.56	$142.51	$242.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $132.78	Professional		$69.18	$69.18	$132.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $57.04 / $57.04	Facility		$57.04	$57.04	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $23.95 / $29.94	Professional		$15.07	$23.95	$29.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $22.35 / $22.35	Facility		$22.35	$22.35	$22.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $82.60	Professional		$20.65	$20.65	$82.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.27 / $79.50 / $133.19	Facility		$72.27	$79.50	$133.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $46.46 / $46.46	Professional		$18.59	$46.46	$46.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $22.35 / $72.27	Facility		$22.35	$22.35	$72.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $26.70 / $29.84	Professional		$20.65	$26.70	$29.84
United Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $41.30 / $62.31	Professional		$12.98	$41.30	$62.31