Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $185.00 / $264.14	Facility		$28.81	$185.00	$264.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $68.06 / $77.91	Professional		$18.69	$68.06	$77.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $56.14 / $56.14	Facility		$56.14	$56.14	$56.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $23.54 / $29.43	Professional		$14.88	$23.54	$29.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.72 / $17.72 / $17.72	Facility		$17.72	$17.72	$17.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $81.28	Professional		$20.32	$20.32	$81.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $78.23 / $131.06	Facility		$71.12	$78.23	$131.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $45.72 / $252.50	Professional		$18.29	$45.72	$252.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.72 / $17.72 / $71.12	Facility		$17.72	$17.72	$71.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $26.27 / $29.36	Professional		$20.32	$26.27	$29.36
United Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $40.64 / $61.31	Professional		$12.78	$40.64	$61.31