Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $122.87 / $415.00	Facility		$46.00	$122.87	$415.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $60.23 / $75.28	Professional		$16.53	$60.23	$75.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $49.68	Facility		$49.68	$49.68	$49.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $20.65 / $25.81	Professional		$13.25	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $16.66 / $16.66	Facility		$16.66	$16.66	$16.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $17.98 / $71.92	Professional		$17.98	$17.98	$71.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.93 / $69.22 / $115.94	Facility		$62.93	$69.22	$115.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $36.99 / $88.76	Professional		$16.18	$36.99	$88.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $16.66 / $62.93	Facility		$16.66	$16.66	$62.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $23.24 / $49.45	Professional		$17.98	$23.24	$49.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $35.96 / $54.25	Professional		$11.39	$35.96	$54.25