Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $213.16 / $349.14	Facility		$80.50	$213.16	$349.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $74.27 / $74.27	Professional		$16.57	$74.27	$74.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.24 / $61.24 / $61.24	Facility		$61.24	$61.24	$61.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $25.61 / $32.01	Professional		$13.25	$25.61	$32.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Facility		$16.14	$16.14	$16.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $22.17 / $88.68	Professional		$22.17	$22.17	$88.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $85.35 / $116.51	Facility		$77.59	$85.35	$116.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $49.88 / $49.88	Professional		$19.95	$49.88	$49.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $16.14 / $77.59	Facility		$16.14	$16.14	$77.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.35 / $26.08	Professional		$19.95	$23.35	$26.08
United Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $44.34 / $66.89	Professional		$11.35	$44.34	$66.89