Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $119.27 / $199.68	Facility		$70.73	$119.27	$199.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $57.05 / $65.29	Professional		$15.66	$57.05	$65.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $47.05 / $47.05	Facility		$47.05	$47.05	$47.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $25.75 / $47.14	Professional		$21.48	$25.75	$47.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $16.19 / $16.19	Facility		$16.19	$16.19	$16.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $17.03 / $68.12	Professional		$17.03	$17.03	$68.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $65.56 / $109.87	Facility		$59.61	$65.56	$109.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $38.32 / $38.32	Professional		$15.33	$38.32	$38.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $16.19 / $59.61	Facility		$16.19	$16.19	$59.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $22.02 / $24.60	Professional		$17.03	$22.02	$24.60
United Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $34.06 / $51.38	Professional		$10.71	$34.06	$51.38