Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $141.25 / $331.13	Facility		$70.79	$141.25	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $51.29	Professional		$12.88	$15.85	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.95 / $24.55	Professional		$12.59	$19.95	$24.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.98 / $123.03	Facility		$14.79	$16.98	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $61.66	Professional		$16.98	$16.98	$61.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $66.07 / $109.65	Facility		$60.26	$66.07	$109.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $38.02	Professional		$31.62	$38.02	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $21.88	Professional		$12.59	$16.98	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $33.88 / $51.29	Professional		$10.72	$33.88	$51.29