Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $181.97 / $208.93	Facility		$75.86	$181.97	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $58.88	Professional		$14.13	$15.85	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $25.70	Professional		$12.88	$20.42	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $79.43	Facility		$15.85	$15.85	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $70.79	Professional		$17.78	$17.78	$70.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $67.61 / $114.82	Facility		$61.66	$67.61	$114.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $39.81	Professional		$32.36	$39.81	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $20.89	Professional		$12.88	$17.78	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $35.48 / $53.70	Professional		$11.22	$35.48	$53.70