Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.23 / $136.29 / $231.56	Facility		$29.23	$136.29	$231.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $66.16 / $75.72	Professional		$16.57	$66.16	$75.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.57 / $54.57 / $54.57	Facility		$54.57	$54.57	$54.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $22.72 / $28.39	Professional		$13.25	$22.72	$28.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $16.37 / $16.37	Facility		$16.37	$16.37	$16.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $19.75 / $79.00	Professional		$19.75	$19.75	$79.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.13 / $76.04 / $116.51	Facility		$69.13	$76.04	$116.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $44.44 / $44.44	Professional		$17.78	$44.44	$44.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $16.37 / $69.13	Facility		$16.37	$16.37	$69.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $23.35 / $26.08	Professional		$18.05	$23.35	$26.08
United Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $39.50 / $44.58	Professional		$11.35	$39.50	$44.58