Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.67 / $151.55 / $442.80	Facility		$40.67	$151.55	$442.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $73.56 / $91.96	Professional		$20.21	$73.56	$91.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $60.65 / $60.65	Facility		$60.65	$60.65	$60.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $25.19 / $31.49	Professional		$16.14	$25.19	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $19.91 / $19.91	Facility		$19.91	$19.91	$19.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $21.96 / $87.84	Professional		$21.96	$21.96	$87.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.86 / $84.55 / $141.68	Facility		$76.86	$84.55	$141.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $49.41 / $49.41	Professional		$19.76	$49.41	$49.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $19.91 / $76.86	Facility		$19.91	$19.91	$76.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $28.40 / $31.73	Professional		$21.96	$28.40	$31.73
United Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $43.92 / $66.26	Professional		$13.81	$43.92	$66.26