Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.51 / $105.30 / $279.45	Facility		$55.51	$105.30	$279.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $81.00 / $92.71	Professional		$22.19	$81.00	$92.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.81 / $66.81 / $66.81	Facility		$66.81	$66.81	$66.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $28.08 / $35.11	Professional		$17.79	$28.08	$35.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $21.93 / $21.93	Facility		$21.93	$21.93	$21.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $24.18 / $96.72	Professional		$24.18	$24.18	$96.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.63 / $93.09 / $155.99	Facility		$84.63	$93.09	$155.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $54.41 / $54.41	Professional		$21.76	$54.41	$54.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $21.93 / $84.63	Facility		$21.93	$21.93	$84.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $31.26 / $34.94	Professional		$24.18	$31.26	$34.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $48.36 / $72.95	Professional		$15.21	$48.36	$72.95