Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $130.50 / $221.73	Facility		$27.99	$130.50	$221.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $63.35 / $121.59	Professional		$63.35	$63.35	$121.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.23 / $52.23 / $52.23	Facility		$52.23	$52.23	$52.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $21.48 / $26.85	Professional		$13.79	$21.48	$26.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $20.47 / $20.47	Facility		$20.47	$20.47	$20.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $18.91 / $75.64	Professional		$18.91	$18.91	$75.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.19 / $72.80 / $122.01	Facility		$66.19	$72.80	$122.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $42.55 / $42.55	Professional		$17.02	$42.55	$42.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $20.47 / $66.19	Facility		$20.47	$20.47	$66.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $24.45 / $27.34	Professional		$18.91	$24.45	$27.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $37.82 / $57.06	Professional		$11.89	$37.82	$57.06