Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $120.63 / $171.43	Facility		$74.06	$120.63	$171.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $23.46 / $59.73	Professional		$20.82	$23.46	$59.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $49.26 / $49.26	Facility		$49.26	$49.26	$49.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $26.30 / $48.35	Professional		$21.48	$26.30	$48.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $16.97 / $16.97	Facility		$16.97	$16.97	$16.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $71.31	Professional		$17.82	$17.82	$71.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $68.65 / $115.04	Facility		$62.40	$68.65	$115.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $40.11 / $40.11	Professional		$16.05	$40.11	$40.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $16.97 / $62.40	Facility		$16.97	$16.97	$62.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $23.06 / $26.30	Professional		$17.82	$23.06	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $35.65 / $53.80	Professional		$23.72	$35.65	$53.80