Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $154.88	Facility		$70.79	$117.49	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $72.44	Professional		$18.62	$21.88	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $34.67	Professional		$17.78	$27.54	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.99 / $144.54	Facility		$19.95	$23.99	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $95.50	Professional		$23.99	$28.18	$95.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $93.33 / $154.88	Facility		$85.11	$93.33	$154.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $53.70	Professional		$44.67	$53.70	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $30.90	Professional		$17.78	$23.99	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $47.86 / $72.44	Professional		$15.49	$47.86	$72.44