Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $126.15 / $214.34	Facility		$27.05	$126.15	$214.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $61.24 / $70.09	Professional		$16.82	$61.24	$70.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $50.49 / $50.49	Facility		$50.49	$50.49	$50.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $21.06 / $26.33	Professional		$13.43	$21.06	$26.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $15.95	Facility		$15.95	$15.95	$15.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $18.28 / $73.12	Professional		$18.28	$18.28	$73.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $70.38 / $117.93	Facility		$63.98	$70.38	$117.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $41.13 / $41.13	Professional		$16.45	$41.13	$41.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $63.98	Facility		$15.95	$15.95	$63.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $23.64 / $26.42	Professional		$18.28	$23.64	$26.42
United Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $36.56 / $55.15	Professional		$11.49	$36.56	$55.15