Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $139.40 / $236.85	Facility		$29.90	$139.40	$236.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $67.67 / $77.45	Professional		$18.60	$67.67	$77.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Facility		$55.80	$55.80	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $23.13 / $28.91	Professional		$14.88	$23.13	$28.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $21.86 / $21.86	Facility		$21.86	$21.86	$21.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $20.20 / $80.80	Professional		$20.20	$20.20	$80.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $77.77 / $130.30	Facility		$70.70	$77.77	$130.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $45.45 / $45.45	Professional		$18.18	$45.45	$45.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $21.86 / $70.70	Facility		$21.86	$21.86	$70.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $20.21 / $29.18	Professional		$20.20	$20.21	$29.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $40.40 / $49.88	Professional		$12.70	$40.40	$49.88