Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $135.26 / $226.53	Facility		$29.01	$135.26	$226.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $25.77 / $65.66	Professional		$22.87	$25.77	$65.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $54.15 / $54.15	Facility		$54.15	$54.15	$54.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $22.72 / $28.39	Professional		$14.34	$22.72	$28.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $17.76 / $17.76	Facility		$17.76	$17.76	$17.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $19.60 / $78.40	Professional		$19.60	$19.60	$78.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $75.45 / $126.37	Facility		$68.59	$75.45	$126.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $44.10 / $63.75	Professional		$17.64	$44.10	$63.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $17.76 / $68.59	Facility		$17.76	$17.76	$68.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.60 / $25.33	Professional		$19.59	$19.60	$25.33
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $39.20 / $59.14	Professional		$12.32	$39.20	$59.14