Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.61 / $179.82 / $504.90	Facility		$54.61	$179.82	$504.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $17.77 / $61.64	Professional		$15.77	$17.77	$61.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $50.83 / $50.83	Facility		$50.83	$50.83	$50.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $21.06 / $26.33	Professional		$9.98	$21.06	$26.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $13.40 / $13.40	Facility		$13.40	$13.40	$13.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $73.59	Professional		$18.39	$18.39	$73.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $70.84 / $87.17	Facility		$64.40	$70.84	$87.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $41.40 / $376.25	Professional		$16.55	$41.40	$376.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $13.40 / $50.83	Facility		$13.40	$13.40	$50.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $17.47 / $18.39	Professional		$16.55	$17.47	$18.39
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $36.79 / $55.52	Professional		$8.50	$36.79	$55.52