Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $133.88 / $227.47	Facility		$28.71	$133.88	$227.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $64.98 / $74.38	Professional		$17.80	$64.98	$74.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.59 / $53.59 / $53.59	Facility		$53.59	$53.59	$53.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $22.30 / $27.88	Professional		$14.16	$22.30	$27.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $17.59 / $17.59	Facility		$17.59	$17.59	$17.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $19.39 / $77.59	Professional		$19.39	$19.39	$77.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $74.69 / $125.14	Facility		$67.90	$74.69	$125.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $43.65 / $43.65	Professional		$17.46	$43.65	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $17.59 / $67.90	Facility		$17.59	$17.59	$67.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $19.39 / $28.03	Professional		$19.39	$19.39	$28.03
United Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $38.79 / $58.53	Professional		$12.20	$38.79	$58.53