Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $142.21 / $257.08	Facility		$30.80	$142.21	$257.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $27.37 / $69.70	Professional		$21.41	$27.37	$69.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Facility		$57.50	$57.50	$57.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $23.95 / $29.94	Professional		$15.25	$23.95	$29.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Facility		$18.86	$18.86	$18.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $83.24	Professional		$20.81	$20.81	$83.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.84 / $80.12 / $134.24	Facility		$72.84	$80.12	$134.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $46.82 / $200.00	Professional		$18.73	$46.82	$200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $18.86 / $72.84	Facility		$18.86	$18.86	$72.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $26.90 / $30.06	Professional		$20.81	$26.90	$30.06
United Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $41.62 / $62.79	Professional		$13.08	$41.62	$62.79