Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $130.65 / $221.97	Facility		$28.02	$130.65	$221.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $63.42 / $72.58	Professional		$17.42	$63.42	$72.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.28 / $52.28 / $52.28	Facility		$52.28	$52.28	$52.28
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 $20.49 / $20.49 / $20.49	Facility		$20.49	$20.49	$20.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $18.93 / $75.72	Professional		$18.93	$18.93	$75.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.26 / $72.88 / $122.15	Facility		$66.26	$72.88	$122.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $42.59 / $42.59	Professional		$17.04	$42.59	$42.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.49 / $20.49 / $66.26	Facility		$20.49	$20.49	$66.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $18.94 / $24.48	Professional		$18.93	$18.94	$24.48
United Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $37.86 / $57.12	Professional		$11.91	$37.86	$57.12