Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.43 / $116.43 / $268.91	Facility		$59.43	$116.43	$268.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $57.85 / $66.20	Professional		$11.91	$57.85	$66.20
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 $19.82 / $19.82 / $24.78	Professional		$19.82	$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 Facility Modifier Low / Median / High Price $63.90 / $66.48 / $69.08	Facility		$63.90	$66.48	$69.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $25.91 / $69.08	Professional		$15.54	$25.91	$69.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $12.58 / $33.68	Facility		$12.58	$12.58	$33.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $17.27 / $47.49	Professional		$16.41	$17.27	$47.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $34.54 / $52.11	Professional		$7.77	$34.54	$52.11