Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $136.22 / $231.46	Facility		$29.22	$136.22	$231.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $66.13 / $75.68	Professional		$18.17	$66.13	$75.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.53 / $54.53 / $54.53	Facility		$54.53	$54.53	$54.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $22.72 / $28.39	Professional		$14.52	$22.72	$28.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $17.91 / $17.91	Facility		$17.91	$17.91	$17.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $78.95	Professional		$19.73	$19.73	$78.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $76.00 / $127.36	Facility		$69.09	$76.00	$127.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $44.42 / $307.20	Professional		$17.77	$44.42	$307.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $17.91 / $69.09	Facility		$17.91	$17.91	$69.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $25.53	Professional		$19.73	$19.73	$25.53
United Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $39.47 / $59.56	Professional		$12.42	$39.47	$59.56