Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.86 / $266.39 / $448.64	Facility		$85.86	$266.39	$448.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $69.23 / $79.25	Professional		$19.03	$69.23	$79.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $57.12 / $57.12	Facility		$57.12	$57.12	$57.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $23.95 / $29.94	Professional		$15.25	$23.95	$29.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $18.02 / $18.02	Facility		$18.02	$18.02	$18.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $20.67 / $82.68	Professional		$20.67	$20.67	$82.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $79.58 / $133.34	Facility		$72.34	$79.58	$133.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $46.51 / $46.51	Professional		$18.60	$46.51	$46.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $18.02 / $72.34	Facility		$18.02	$18.02	$72.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $20.67 / $29.88	Professional		$20.67	$20.67	$29.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $41.34 / $62.37	Professional		$13.00	$41.34	$62.37