Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $126.71 / $215.29	Facility		$27.17	$126.71	$215.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $61.51 / $70.39	Professional		$15.10	$61.51	$70.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.70 / $50.70 / $50.70	Facility		$50.70	$50.70	$50.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $21.06 / $26.33	Professional		$11.98	$21.06	$26.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $19.86 / $19.86	Facility		$19.86	$19.86	$19.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $18.36 / $73.44	Professional		$18.36	$18.36	$73.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.26 / $70.69 / $105.84	Facility		$64.26	$70.69	$105.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $41.31 / $41.31	Professional		$16.52	$41.31	$41.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $19.86 / $64.26	Facility		$19.86	$19.86	$64.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $18.36 / $21.21	Professional		$16.52	$18.36	$21.21
United Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $36.72 / $55.40	Professional		$10.32	$36.72	$55.40