Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $140.18 / $323.10	Facility		$77.59	$140.18	$323.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $62.58 / $71.62	Professional		$17.17	$62.58	$71.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $51.60 / $51.60	Facility		$51.60	$51.60	$51.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $21.48 / $26.85	Professional		$13.79	$21.48	$26.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $16.95 / $16.95	Facility		$16.95	$16.95	$16.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $18.68 / $74.72	Professional		$18.68	$18.68	$74.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $42.03 / $42.03	Professional		$16.80	$42.03	$42.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $16.95 / $16.95	Facility		$16.95	$16.95	$16.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $18.68 / $24.16	Professional		$18.68	$18.68	$24.16
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $37.36 / $56.36	Professional		$11.75	$37.36	$56.36