Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $124.57 / $211.65	Facility		$74.98	$124.57	$211.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $20.92 / $60.47	Professional		$18.57	$20.92	$60.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $49.85 / $49.85	Facility		$49.85	$49.85	$49.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $18.75 / $23.44	Professional		$9.49	$18.75	$23.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $24.75	Facility		$16.39	$16.39	$24.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $72.20	Professional		$18.05	$18.05	$72.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $40.61 / $40.61	Professional		$16.25	$40.61	$40.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $33.03	Facility		$16.39	$16.39	$33.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $20.57 / $32.72	Professional		$16.25	$20.57	$32.72
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $36.10 / $54.46	Professional		$8.14	$36.10	$54.46