Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.09 / $140.99 / $259.16	Facility		$29.09	$140.99	$259.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $59.13 / $67.67	Professional		$15.90	$59.13	$67.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $48.75	Facility		$48.75	$48.75	$48.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $20.65 / $25.81	Professional		$12.71	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $15.70 / $15.70	Facility		$15.70	$15.70	$15.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $17.64 / $70.59	Professional		$17.64	$17.64	$70.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.77 / $67.95 / $111.72	Facility		$61.77	$67.95	$111.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $39.71 / $196.75	Professional		$15.89	$39.71	$196.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $15.70 / $61.77	Facility		$15.70	$15.70	$61.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.64 / $22.39	Professional		$17.32	$17.64	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $35.29 / $42.76	Professional		$10.89	$35.29	$42.76