Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $239.88 / $398.11	Facility		$89.13	$239.88	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $67.61	Professional		$15.85	$19.05	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $23.44 / $29.51	Professional		$6.46	$23.44	$29.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $69.18	Facility		$14.79	$14.79	$69.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.42 / $81.28	Professional		$19.05	$20.42	$81.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $75.86 / $81.28	Facility		$48.98	$75.86	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $45.71 / $45.71	Professional		$20.42	$45.71	$45.71
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 $6.46 / $18.62 / $20.42	Professional		$6.46	$18.62	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $40.74 / $61.66	Professional		$5.62	$40.74	$61.66