Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $122.08 / $207.41	Facility		$26.18	$122.08	$207.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $59.26 / $113.75	Professional		$59.26	$59.26	$113.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $48.88 / $48.88	Facility		$48.88	$48.88	$48.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $20.65 / $25.81	Professional		$12.89	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Facility		$19.14	$19.14	$19.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $70.76	Professional		$17.69	$17.69	$70.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $68.11 / $114.14	Facility		$61.92	$68.11	$114.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $39.79 / $39.79	Professional		$15.92	$39.79	$39.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $61.92	Facility		$19.14	$19.14	$61.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $25.56	Professional		$17.69	$17.69	$25.56
United Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $35.38 / $53.37	Professional		$11.12	$35.38	$53.37