Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $97.72 / $138.04	Facility		$51.29	$97.72	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $64.57	Professional		$16.60	$19.95	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $30.90	Professional		$15.85	$24.55	$30.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $21.88 / $117.49	Facility		$19.50	$21.88	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $87.10	Professional		$21.88	$21.88	$87.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $83.18 / $141.25	Facility		$75.86	$83.18	$141.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $48.98	Professional		$39.81	$48.98	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $28.18	Professional		$15.85	$21.88	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $43.65 / $66.07	Professional		$13.80	$43.65	$66.07