Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $112.20 / $380.19	Facility		$47.86	$112.20	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $51.29	Professional		$19.50	$23.99	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $37.15	Professional		$19.05	$29.51	$37.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $25.70 / $190.55	Facility		$22.39	$25.70	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $102.33	Professional		$25.70	$30.20	$102.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $100.00 / $165.96	Facility		$91.20	$100.00	$165.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $128.82	Professional		$47.86	$57.54	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $33.11	Professional		$19.05	$25.70	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $51.29 / $77.62	Professional		$16.22	$51.29	$77.62