Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.62 / $142.30 / $247.97	Facility		$57.62	$142.30	$247.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $71.22 / $71.22	Professional		$19.57	$71.22	$71.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.74 / $58.74 / $58.74	Facility		$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $24.37 / $30.46	Professional		$15.61	$24.37	$30.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $19.27 / $19.27	Facility		$19.27	$19.27	$19.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $21.26 / $85.04	Professional		$21.26	$21.26	$85.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.41 / $81.84 / $137.13	Facility		$74.41	$81.84	$137.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $47.84 / $396.25	Professional		$19.13	$47.84	$396.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $19.27 / $74.41	Facility		$19.27	$19.27	$74.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $21.27 / $27.48	Professional		$21.26	$21.27	$27.48
United Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $42.52 / $64.15	Professional		$13.37	$42.52	$64.15