Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.51 / $147.00 / $235.20	Facility		$63.51	$147.00	$235.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $51.22 / $51.22	Professional		$19.80	$51.22	$51.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $42.25 / $42.25	Facility		$42.25	$42.25	$42.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $17.35 / $21.68	Professional		$11.07	$17.35	$21.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Facility		$16.54	$16.54	$16.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $61.16	Professional		$15.29	$15.29	$61.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.52 / $58.87 / $97.12	Facility		$53.52	$58.87	$97.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $30.97 / $74.36	Professional		$13.76	$30.97	$74.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $16.54 / $53.52	Facility		$16.54	$16.54	$53.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $19.47 / $42.05	Professional		$15.06	$19.47	$42.05
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $30.58 / $46.13	Professional		$9.46	$30.58	$46.13