Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $139.53 / $239.76	Facility		$58.80	$139.53	$239.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $59.06 / $67.59	Professional		$16.17	$59.06	$67.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.71 / $48.71 / $48.71	Facility		$48.71	$48.71	$48.71
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 $15.38 / $15.38 / $15.38	Facility		$15.38	$15.38	$15.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $17.63 / $70.52	Professional		$17.63	$17.63	$70.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $67.88 / $113.76	Facility		$61.71	$67.88	$113.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $39.67 / $39.67	Professional		$15.87	$39.67	$39.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $15.38 / $61.71	Facility		$15.38	$15.38	$61.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $17.63 / $22.80	Professional		$17.63	$17.63	$22.80
United Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $35.26 / $53.19	Professional		$11.09	$35.26	$53.19