Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $127.79 / $213.29	Facility		$71.31	$127.79	$213.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $57.05 / $65.29	Professional		$15.66	$57.05	$65.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $47.05 / $47.05	Facility		$47.05	$47.05	$47.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $19.82 / $24.78	Professional		$12.52	$19.82	$24.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $14.85 / $14.85	Facility		$14.85	$14.85	$14.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $17.03 / $68.12	Professional		$17.03	$17.03	$68.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $38.32 / $38.32	Professional		$15.33	$38.32	$38.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $14.85 / $14.85	Facility		$14.85	$14.85	$14.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $22.02 / $24.60	Professional		$17.03	$22.02	$24.60
United Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $34.06 / $51.38	Professional		$10.71	$34.06	$51.38