Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $139.96 / $237.79	Facility		$80.00	$139.96	$237.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $67.94 / $77.75	Professional		$18.62	$67.94	$77.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $56.02	Facility		$56.02	$56.02	$56.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $23.54 / $29.43	Professional		$14.88	$23.54	$29.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $18.38 / $18.38	Facility		$18.38	$18.38	$18.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $20.28 / $81.12	Professional		$20.28	$20.28	$81.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $78.08 / $130.82	Facility		$70.98	$78.08	$130.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $45.63 / $45.63	Professional		$18.25	$45.63	$45.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $18.38 / $70.98	Facility		$18.38	$18.38	$70.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $26.22 / $29.30	Professional		$20.28	$26.22	$29.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $40.56 / $61.19	Professional		$12.75	$40.56	$61.19