Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $134.46 / $411.07	Facility		$67.23	$134.46	$411.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $60.77 / $75.95	Professional		$16.71	$60.77	$75.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $50.11	Facility		$50.11	$50.11	$50.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $20.65 / $25.81	Professional		$13.25	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $15.81 / $15.81	Facility		$15.81	$15.81	$15.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $72.56	Professional		$18.14	$18.14	$72.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.49 / $69.84 / $117.03	Facility		$63.49	$69.84	$117.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $40.82 / $178.75	Professional		$16.32	$40.82	$178.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $15.81 / $63.49	Facility		$15.81	$15.81	$63.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $23.46 / $26.20	Professional		$18.14	$23.46	$26.20
United Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $36.28 / $54.73	Professional		$11.41	$36.28	$54.73