Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $133.32 / $226.52	Facility		$28.59	$133.32	$226.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $64.72 / $124.23	Professional		$64.72	$64.72	$124.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $53.38 / $53.38	Facility		$53.38	$53.38	$53.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $22.30 / $27.88	Professional		$13.79	$22.30	$27.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $20.90 / $20.90	Facility		$20.90	$20.90	$20.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $77.28	Professional		$19.32	$19.32	$77.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $74.38 / $122.01	Facility		$67.62	$74.38	$122.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $43.47 / $43.47	Professional		$17.39	$43.47	$43.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $20.90 / $67.62	Facility		$20.90	$20.90	$67.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $19.32 / $24.45	Professional		$18.91	$19.32	$24.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $38.64 / $58.29	Professional		$11.89	$38.64	$58.29