Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $141.25 / $218.78	Facility		$77.62	$141.25	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $60.26	Professional		$14.13	$16.98	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $18.62 / $23.44	Professional		$9.55	$18.62	$23.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $81.28	Facility		$16.22	$16.22	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $53.70 / $60.26	Professional		$16.98	$53.70	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $69.18 / $102.33	Facility		$18.20	$69.18	$102.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $40.74	Professional		$29.51	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $33.11	Facility		$16.22	$16.22	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.22 / $20.42	Professional		$9.55	$16.22	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $36.31 / $54.95	Professional		$8.13	$36.31	$54.95