Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $160.31 / $220.33	Facility		$75.95	$160.31	$220.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $62.95 / $72.04	Professional		$17.26	$62.95	$72.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.89 / $51.89 / $51.89	Facility		$51.89	$51.89	$51.89
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 $17.05 / $17.05 / $17.05	Facility		$17.05	$17.05	$17.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $18.79 / $75.16	Professional		$18.79	$18.79	$75.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.77 / $72.34 / $121.25	Facility		$65.77	$72.34	$121.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $42.28 / $235.00	Professional		$16.91	$42.28	$235.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $65.77	Facility		$17.05	$17.05	$65.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $18.79 / $24.30	Professional		$18.79	$18.79	$24.30
United Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $37.58 / $56.69	Professional		$11.82	$37.58	$56.69