Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $140.57 / $238.84	Facility		$30.15	$140.57	$238.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $68.23 / $130.97	Professional		$68.23	$68.23	$130.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.27 / $56.27 / $56.27	Facility		$56.27	$56.27	$56.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $23.54 / $29.43	Professional		$3.27	$23.54	$29.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $14.84 / $14.84	Facility		$14.84	$14.84	$14.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $20.37 / $81.48	Professional		$20.37	$20.37	$81.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $71.30 / $81.48	Facility		$24.80	$71.30	$81.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $45.83 / $45.83	Professional		$18.32	$45.83	$45.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $14.84 / $29.34	Facility		$14.84	$14.84	$29.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $6.58 / $20.37	Professional		$5.88	$6.58	$20.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $40.74 / $61.46	Professional		$2.86	$40.74	$61.46