Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $208.93 / $1,023.29	Facility		$77.62	$208.93	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $58.88	Professional		$14.13	$16.98	$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 $13.18 / $20.42 / $25.70	Professional		$13.18	$20.42	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $60.26	Facility		$16.22	$16.22	$60.26
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 $63.10 / $69.18 / $114.82	Facility		$63.10	$69.18	$114.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $40.74	Professional		$33.11	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $20.89	Professional		$13.18	$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