Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.58 / $172.43 / $331.24	Facility		$35.58	$172.43	$331.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $24.45 / $62.24	Professional		$21.69	$24.45	$62.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $51.34 / $51.34	Facility		$51.34	$51.34	$51.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $21.06 / $26.33	Professional		$13.61	$21.06	$26.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Facility		$16.84	$16.84	$16.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $18.57 / $74.31	Professional		$18.57	$18.57	$74.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $41.81 / $200.00	Professional		$16.72	$41.81	$200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Facility		$16.84	$16.84	$16.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $18.59 / $24.03	Professional		$18.57	$18.59	$24.03
United Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $37.15 / $56.06	Professional		$11.69	$37.15	$56.06