Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $139.54 / $237.09	Facility		$29.93	$139.54	$237.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $67.73 / $77.52	Professional		$18.60	$67.73	$77.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $55.85 / $55.85	Facility		$55.85	$55.85	$55.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $23.54 / $29.43	Professional		$14.88	$23.54	$29.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $18.32 / $18.32	Facility		$18.32	$18.32	$18.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $20.22 / $80.88	Professional		$20.22	$20.22	$80.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.77 / $77.84 / $130.40	Facility		$70.77	$77.84	$130.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $45.50 / $45.50	Professional		$18.20	$45.50	$45.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $18.32 / $70.77	Facility		$18.32	$18.32	$70.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $26.13 / $29.20	Professional		$20.22	$26.13	$29.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $40.44 / $61.01	Professional		$12.71	$40.44	$61.01