Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.11 / $152.63 / $465.30	Facility		$68.11	$152.63	$465.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $17.03 / $57.85	Professional		$15.11	$17.03	$57.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.73 / $47.73 / $47.73	Facility		$47.73	$47.73	$47.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $19.82 / $24.78	Professional		$9.44	$19.82	$24.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $12.58 / $12.58	Facility		$12.58	$12.58	$12.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $69.08	Professional		$17.27	$17.27	$69.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $38.86 / $236.75	Professional		$15.54	$38.86	$236.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $12.58 / $12.58	Facility		$12.58	$12.58	$12.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $16.73 / $18.71	Professional		$15.54	$16.73	$18.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $34.54 / $52.11	Professional		$8.14	$34.54	$52.11