Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $140.93 / $239.44	Facility		$30.22	$140.93	$239.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $68.41 / $131.30	Professional		$68.41	$68.41	$131.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Facility		$56.40	$56.40	$56.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $23.54 / $29.43	Professional		$14.88	$23.54	$29.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $18.51 / $18.51	Facility		$18.51	$18.51	$18.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $81.68	Professional		$20.42	$20.42	$81.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.47 / $78.62 / $131.72	Facility		$71.47	$78.62	$131.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $45.95 / $45.95	Professional		$18.38	$45.95	$45.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $18.51 / $71.47	Facility		$18.51	$18.51	$71.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $29.49	Professional		$20.42	$20.42	$29.49
United Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $40.84 / $61.61	Professional		$12.84	$40.84	$61.61