Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $129.53 / $220.08	Facility		$27.78	$129.53	$220.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $62.88 / $71.95	Professional		$12.23	$62.88	$71.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.85 / $51.85 / $51.85	Facility		$51.85	$51.85	$51.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $21.48 / $26.85	Professional		$9.80	$21.48	$26.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $13.67 / $13.67	Facility		$13.67	$13.67	$13.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $18.77 / $75.08	Professional		$18.77	$18.77	$75.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $72.26 / $85.89	Facility		$65.70	$72.26	$85.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $42.23 / $42.23	Professional		$16.89	$42.23	$42.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $13.67 / $65.70	Facility		$13.67	$13.67	$65.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $17.21 / $19.23	Professional		$16.89	$17.21	$19.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $37.54 / $56.63	Professional		$8.36	$37.54	$56.63