Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $97.72 / $245.47	Facility		$57.54	$97.72	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $70.79	Professional		$21.88	$25.70	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $39.81	Professional		$20.42	$31.62	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $28.18 / $208.93	Facility		$25.12	$28.18	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $112.20	Professional		$28.18	$33.11	$112.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $107.15 / $181.97	Facility		$97.72	$107.15	$181.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $63.10	Professional		$51.29	$63.10	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $36.31	Professional		$20.42	$28.18	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $56.23 / $85.11	Professional		$17.38	$56.23	$85.11