Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $165.60 / $359.79	Facility		$60.96	$165.60	$359.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $62.04 / $62.04	Professional		$12.48	$62.04	$62.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.17 / $51.17 / $51.17	Facility		$51.17	$51.17	$51.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $21.06 / $26.33	Professional		$9.98	$21.06	$26.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $13.48 / $13.48	Facility		$13.48	$13.48	$13.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $74.08	Professional		$18.52	$18.52	$74.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $71.30 / $87.69	Facility		$64.81	$71.30	$87.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $27.97 / $74.08	Professional		$16.67	$27.97	$74.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $13.48 / $51.17	Facility		$13.48	$13.48	$51.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $18.52 / $50.93	Professional		$17.57	$18.52	$50.93
United Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $37.04 / $55.88	Professional		$8.55	$37.04	$55.88