Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $128.82 / $218.78	Facility		$26.30	$128.82	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $58.88	Professional		$14.13	$16.98	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.42 / $25.70	Professional		$10.96	$20.42	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.05 / $19.05	Facility		$17.78	$19.05	$19.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $70.79	Professional		$17.78	$17.78	$70.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $69.18 / $97.72	Facility		$61.66	$69.18	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $39.81	Professional		$28.18	$39.81	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $19.50	Professional		$10.96	$15.85	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $35.48 / $53.70	Professional		$9.55	$35.48	$53.70