Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $123.74 / $210.25	Facility		$26.54	$123.74	$210.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $60.07 / $60.07	Professional		$16.51	$60.07	$60.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.51 / $49.51 / $49.51	Facility		$49.51	$49.51	$49.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $20.65 / $25.81	Professional		$11.25	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Facility		$15.61	$15.61	$15.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $17.93 / $71.72	Professional		$17.93	$17.93	$71.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.75 / $66.34 / $71.72	Facility		$62.75	$66.34	$71.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $33.21 / $88.56	Professional		$16.14	$33.21	$88.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Facility		$15.61	$15.61	$15.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $21.03 / $49.31	Professional		$17.93	$21.03	$49.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $35.86 / $54.10	Professional		$9.96	$35.86	$54.10