Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $94.51 / $250.82	Facility		$48.94	$94.51	$250.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $72.70 / $83.20	Professional		$19.94	$72.70	$83.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $59.97 / $59.97	Facility		$59.97	$59.97	$59.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $24.78 / $30.98	Professional		$15.97	$24.78	$30.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $19.66 / $19.66	Facility		$19.66	$19.66	$19.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $86.80	Professional		$21.70	$21.70	$86.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $83.55 / $139.97	Facility		$75.95	$83.55	$139.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $48.83 / $48.83	Professional		$19.53	$48.83	$48.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $19.66 / $75.95	Facility		$19.66	$19.66	$75.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $28.05	Professional		$21.70	$21.70	$28.05
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $43.40 / $65.47	Professional		$13.64	$43.40	$65.47