Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.87 / $128.02 / $331.45	Facility		$70.87	$128.02	$331.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $57.15 / $65.41	Professional		$10.68	$57.15	$65.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $47.13	Facility		$47.13	$47.13	$47.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $19.82 / $24.78	Professional		$8.52	$19.82	$24.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $12.42 / $12.42	Facility		$12.42	$12.42	$12.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $68.23	Professional		$17.05	$17.05	$68.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.71 / $63.24 / $74.84	Facility		$59.71	$63.24	$74.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $38.39 / $38.39	Professional		$15.35	$38.39	$38.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $12.42 / $59.71	Facility		$12.42	$12.42	$59.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.35 / $17.05	Professional		$15.00	$15.35	$17.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $34.11 / $51.47	Professional		$7.29	$34.11	$51.47