Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $144.51 / $245.53	Facility		$30.99	$144.51	$245.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $70.15 / $134.63	Professional		$70.15	$70.15	$134.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.84 / $57.84 / $57.84	Facility		$57.84	$57.84	$57.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $24.37 / $30.46	Professional		$13.79	$24.37	$30.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $22.66 / $22.66	Facility		$22.66	$22.66	$22.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $20.94 / $83.76	Professional		$20.94	$20.94	$83.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.29 / $80.62 / $121.49	Facility		$73.29	$80.62	$121.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $47.12 / $47.12	Professional		$18.85	$47.12	$47.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $22.66 / $73.29	Facility		$22.66	$22.66	$73.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $23.47 / $26.23	Professional		$18.85	$23.47	$26.23
United Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $41.88 / $63.18	Professional		$11.84	$41.88	$63.18