Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.76 / $380.73 / $658.00	Facility		$65.76	$380.73	$658.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $65.76 / $82.20	Professional		$18.07	$65.76	$82.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.23 / $54.23 / $54.23	Facility		$54.23	$54.23	$54.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $22.72 / $28.39	Professional		$14.34	$22.72	$28.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $17.79 / $17.79	Facility		$17.79	$17.79	$17.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $19.63 / $78.52	Professional		$19.63	$19.63	$78.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $75.58 / $126.61	Facility		$68.70	$75.58	$126.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $40.39 / $96.96	Professional		$17.67	$40.39	$96.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $17.79 / $68.70	Facility		$17.79	$17.79	$68.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $25.37 / $53.98	Professional		$19.63	$25.37	$53.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $39.26 / $59.23	Professional		$12.34	$39.26	$59.23