Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.99 / $153.53 / $261.54	Facility		$84.99	$153.53	$261.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $68.54 / $131.56	Professional		$68.54	$68.54	$131.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $56.53 / $56.53	Facility		$56.53	$56.53	$56.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $23.54 / $29.43	Professional		$6.53	$23.54	$29.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $14.90 / $14.90	Facility		$14.90	$14.90	$14.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $20.46 / $81.84	Professional		$20.46	$20.46	$81.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $71.61 / $81.84	Facility		$49.12	$71.61	$81.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $46.04 / $46.04	Professional		$18.41	$46.04	$46.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $14.90 / $56.53	Facility		$14.90	$14.90	$56.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $13.03 / $20.46	Professional		$11.66	$13.03	$20.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $40.92 / $61.73	Professional		$5.67	$40.92	$61.73