Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $142.87 / $231.34	Facility		$79.09	$142.87	$231.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $63.78 / $79.72	Professional		$17.51	$63.78	$79.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.62 / $52.62 / $52.62	Facility		$52.62	$52.62	$52.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $21.89 / $27.36	Professional		$13.98	$21.89	$27.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $17.26 / $17.26	Facility		$17.26	$17.26	$17.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $19.04 / $76.16	Professional		$19.04	$19.04	$76.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $73.30 / $122.81	Facility		$66.64	$73.30	$122.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $42.84 / $42.84	Professional		$17.14	$42.84	$42.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $17.26 / $66.64	Facility		$17.26	$17.26	$66.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $20.71 / $23.14	Professional		$19.04	$20.71	$23.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $38.08 / $57.45	Professional		$11.97	$38.08	$57.45