Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $131.83 / $223.87	Facility		$26.92	$131.83	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $61.66	Professional		$14.13	$16.98	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.42 / $25.70	Professional		$9.55	$20.42	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $18.20	Facility		$13.18	$13.18	$18.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $72.44	Professional		$18.20	$18.20	$72.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $70.79 / $85.11	Facility		$63.10	$70.79	$85.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $40.74	Professional		$26.92	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.60 / $18.20	Professional		$9.55	$16.60	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $36.31 / $54.95	Professional		$8.32	$36.31	$54.95