Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $144.54 / $245.47	Facility		$29.51	$144.54	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $67.61	Professional		$15.85	$19.05	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $31.62	Professional		$14.79	$14.79	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $91.20	Facility		$19.95	$19.95	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $64.57	Professional		$19.95	$19.95	$64.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $77.62 / $128.82	Facility		$70.79	$77.62	$128.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $29.51 / $95.50	Facility		$16.22	$29.51	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $31.62	Professional		$14.79	$19.95	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $39.81 / $60.26	Professional		$12.02	$39.81	$60.26