Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $173.78 / $269.15	Facility		$58.88	$173.78	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $61.66	Professional		$15.14	$16.98	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $26.30	Professional		$13.49	$20.89	$26.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.62 / $229.09	Facility		$16.98	$18.62	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.38 / $77.62	Professional		$18.62	$21.38	$77.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $70.79 / $120.23	Facility		$64.57	$70.79	$120.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $91.20	Professional		$34.67	$41.69	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $23.99	Professional		$13.49	$18.62	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $37.15 / $56.23	Professional		$11.75	$37.15	$56.23