Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $123.54 / $209.90	Facility		$26.49	$123.54	$209.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $59.97 / $68.63	Professional		$16.10	$59.97	$68.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $49.47 / $49.47	Facility		$49.47	$49.47	$49.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $20.65 / $25.81	Professional		$12.89	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $15.88	Facility		$15.88	$15.88	$15.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.89 / $71.59	Professional		$17.89	$17.89	$71.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $68.91 / $113.00	Facility		$62.65	$68.91	$113.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $40.28 / $40.28	Professional		$16.11	$40.28	$40.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $62.65	Facility		$15.88	$15.88	$62.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.89 / $25.31	Professional		$17.52	$17.89	$25.31
United Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $35.79 / $54.01	Professional		$11.01	$35.79	$54.01