Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.79 / $148.24 / $251.86	Facility		$31.79	$148.24	$251.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $71.95 / $82.35	Professional		$19.73	$71.95	$82.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.33 / $59.33 / $59.33	Facility		$59.33	$59.33	$59.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $24.37 / $30.46	Professional		$15.79	$24.37	$30.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $85.92	Professional		$21.48	$21.48	$85.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.18 / $82.70 / $138.60	Facility		$75.18	$82.70	$138.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $48.33 / $48.33	Professional		$19.32	$48.33	$48.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $75.18	Facility		$19.48	$19.48	$75.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $31.04	Professional		$21.48	$21.48	$31.04
United Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $42.96 / $64.81	Professional		$13.50	$42.96	$64.81