Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $137.96 / $217.20	Facility		$71.45	$137.96	$217.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $57.62 / $65.94	Professional		$15.84	$57.62	$65.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $47.52 / $47.52	Facility		$47.52	$47.52	$47.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $19.82 / $24.78	Professional		$12.71	$19.82	$24.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $15.60	Facility		$15.60	$15.60	$15.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $68.80	Professional		$17.20	$17.20	$68.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $63.64 / $68.80	Facility		$56.24	$63.64	$68.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $38.70 / $38.70	Professional		$15.48	$38.70	$38.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $56.24	Facility		$15.60	$15.60	$56.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $10.42 / $17.21	Professional		$9.34	$10.42	$17.21
United Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $34.40 / $51.90	Professional		$10.82	$34.40	$51.90