Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $159.21 / $304.58	Facility		$32.90	$159.21	$304.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $29.26 / $74.47	Professional		$25.96	$29.26	$74.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $61.41 / $61.41	Facility		$61.41	$61.41	$61.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $25.61 / $32.01	Professional		$16.34	$25.61	$32.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $19.39 / $19.39	Facility		$19.39	$19.39	$19.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $22.23 / $88.92	Professional		$22.23	$22.23	$88.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $85.59 / $143.43	Facility		$77.81	$85.59	$143.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $50.02 / $223.75	Professional		$20.01	$50.02	$223.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $19.39 / $77.81	Facility		$19.39	$19.39	$77.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $22.24 / $28.75	Professional		$22.23	$22.24	$28.75
United Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $44.46 / $67.06	Professional		$13.98	$44.46	$67.06