Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $138.37 / $235.10	Facility		$29.67	$138.37	$235.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $67.17 / $67.17	Professional		$23.42	$67.17	$67.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.38 / $55.38 / $55.38	Facility		$55.38	$55.38	$55.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $23.13 / $31.52	Professional		$14.70	$23.13	$31.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $18.18 / $18.18	Facility		$18.18	$18.18	$18.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $64.56	Professional		$20.05	$20.05	$64.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.18 / $77.19 / $129.35	Facility		$70.18	$77.19	$129.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $45.11 / $45.11	Professional		$18.05	$45.11	$45.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $18.18 / $70.18	Facility		$18.18	$18.18	$70.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $25.93	Professional		$20.05	$20.05	$25.93
United Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $40.10 / $60.50	Professional		$12.61	$40.10	$60.50