Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $187.80 / $315.25	Facility		$48.17	$187.80	$315.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $71.72 / $89.65	Professional		$19.69	$71.72	$89.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $59.16 / $59.16	Facility		$59.16	$59.16	$59.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $24.37 / $30.46	Professional		$15.79	$24.37	$30.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $19.41 / $19.41	Facility		$19.41	$19.41	$19.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $21.41 / $85.64	Professional		$21.41	$21.41	$85.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $82.43 / $138.08	Facility		$74.94	$82.43	$138.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $48.17 / $311.25	Professional		$19.27	$48.17	$311.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $19.41 / $74.94	Facility		$19.41	$19.41	$74.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $21.41 / $27.67	Professional		$21.41	$21.41	$27.67
United Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $42.82 / $64.59	Professional		$13.46	$42.82	$64.59