Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $143.60 / $243.99	Facility		$30.80	$143.60	$243.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $69.70 / $87.13	Professional		$19.16	$69.70	$87.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Facility		$57.50	$57.50	$57.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $23.95 / $29.94	Professional		$15.25	$23.95	$29.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $18.87 / $18.87	Facility		$18.87	$18.87	$18.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $83.24	Professional		$20.81	$20.81	$83.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.84 / $80.12 / $112.76	Facility		$72.84	$80.12	$112.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $38.54 / $102.80	Professional		$18.73	$38.54	$102.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $18.87 / $72.84	Facility		$18.87	$18.87	$72.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $26.90 / $57.23	Professional		$20.81	$26.90	$57.23
United Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $41.62 / $62.79	Professional		$13.41	$41.62	$62.79