Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $117.48 / $364.68	Facility		$43.44	$117.48	$364.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $144.91	Professional		$21.48	$21.48	$144.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.34 / $53.34 / $53.34	Facility		$53.34	$53.34	$53.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $22.13 / $27.66	Professional		$10.16	$22.13	$27.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $18.88 / $35.34	Facility		$18.88	$18.88	$35.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $77.23	Professional		$19.30	$19.30	$77.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $74.34 / $118.64	Facility		$67.59	$74.34	$118.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $43.45 / $43.45	Professional		$17.38	$43.45	$43.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $18.88 / $64.69	Facility		$18.88	$18.88	$64.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $23.78 / $37.85	Professional		$18.39	$23.78	$37.85
United Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $38.61 / $45.42	Professional		$11.57	$38.61	$45.42