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 $14.34 / $22.72 / $28.39	Professional		$14.34	$22.72	$28.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $21.19 / $21.19	Facility		$21.19	$21.19	$21.19
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 / $126.37	Facility		$68.56	$75.42	$126.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $40.31 / $96.72	Professional		$17.63	$40.31	$96.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $21.19 / $68.56	Facility		$21.19	$21.19	$68.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $25.33 / $53.87	Professional		$19.59	$25.33	$53.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $39.18 / $59.11	Professional		$12.32	$39.18	$59.11