Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.03 / $147.74 / $265.95	Facility		$60.03	$147.74	$265.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $22.19 / $60.03	Professional		$19.69	$22.19	$60.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.51 / $49.51 / $49.51	Facility		$49.51	$49.51	$49.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $20.65 / $25.81	Professional		$12.34	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Facility		$15.29	$15.29	$15.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $17.92 / $71.68	Professional		$17.92	$17.92	$71.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $68.98 / $108.78	Facility		$62.72	$68.98	$108.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $40.32 / $40.32	Professional		$16.13	$40.32	$40.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $62.72	Facility		$15.29	$15.29	$62.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $17.92 / $24.37	Professional		$16.87	$17.92	$24.37
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $35.84 / $54.07	Professional		$10.61	$35.84	$54.07