Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.99 / $135.19 / $229.71	Facility		$28.99	$135.19	$229.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $125.96	Professional		$65.63	$65.63	$125.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.10 / $54.10 / $54.10	Facility		$54.10	$54.10	$54.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $22.72 / $28.39	Professional		$15.43	$22.72	$28.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $10.38 / $10.38	Facility		$10.38	$10.38	$10.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $78.36	Professional		$19.59	$19.59	$78.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $75.42 / $135.22	Facility		$68.56	$75.42	$135.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $44.08 / $44.08	Professional		$17.63	$44.08	$44.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $10.38 / $68.56	Facility		$10.38	$10.38	$68.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.59 / $30.29	Professional		$19.57	$19.59	$30.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $39.18 / $59.11	Professional		$13.19	$39.18	$59.11