Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $134.99 / $229.36	Facility		$28.95	$134.99	$229.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $65.53 / $125.77	Professional		$65.53	$65.53	$125.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $54.02	Facility		$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $22.30 / $27.88	Professional		$14.34	$22.30	$27.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $21.16 / $21.16	Facility		$21.16	$21.16	$21.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $19.55 / $78.23	Professional		$19.55	$19.55	$78.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $75.31 / $126.18	Facility		$68.45	$75.31	$126.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $44.01 / $44.01	Professional		$17.60	$44.01	$44.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $21.16 / $68.45	Facility		$21.16	$21.16	$68.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $25.29 / $28.25	Professional		$19.55	$25.29	$28.25
United Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $39.11 / $59.02	Professional		$12.29	$39.11	$59.02