Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $125.80 / $213.75	Facility		$26.98	$125.80	$213.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $61.07 / $117.22	Professional		$61.07	$61.07	$117.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $50.36	Facility		$50.36	$50.36	$50.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $20.65 / $25.81	Professional		$9.61	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.28 / $13.28	Facility		$13.28	$13.28	$13.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $72.92	Professional		$18.23	$18.23	$72.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $70.19 / $85.08	Facility		$63.81	$70.19	$85.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $41.02 / $41.02	Professional		$16.41	$41.02	$41.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.28 / $63.81	Facility		$13.28	$13.28	$63.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $17.05 / $19.05	Professional		$16.41	$17.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $36.46 / $55.00	Professional		$8.28	$36.46	$55.00