Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $176.46 / $299.81	Facility		$37.84	$176.46	$299.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $85.66 / $164.42	Professional		$85.66	$85.66	$164.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.64 / $70.64 / $70.64	Facility		$70.64	$70.64	$70.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $29.32 / $36.65	Professional		$14.34	$29.32	$36.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $25.57 / $102.28	Professional		$25.57	$25.57	$102.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $57.53 / $57.53	Professional		$23.01	$57.53	$57.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $25.37 / $28.35	Professional		$23.01	$25.37	$28.35
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $51.14 / $77.15	Professional		$12.33	$51.14	$77.15