Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $133.53 / $223.63	Facility		$28.64	$133.53	$223.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $64.81 / $74.19	Professional		$17.80	$64.81	$74.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $53.47 / $53.47	Facility		$53.47	$53.47	$53.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $22.30 / $27.88	Professional		$14.16	$22.30	$27.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $17.54	Facility		$17.54	$17.54	$17.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $19.35 / $77.40	Professional		$19.35	$19.35	$77.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $74.50 / $124.80	Facility		$67.73	$74.50	$124.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $43.54 / $43.54	Professional		$17.42	$43.54	$43.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $67.73	Facility		$17.54	$17.54	$67.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $25.01 / $27.95	Professional		$19.35	$25.01	$27.95
United Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $38.70 / $58.38	Professional		$12.17	$38.70	$58.38