Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $151.36 / $239.88	Facility		$85.11	$151.36	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $64.57	Professional		$15.14	$18.20	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.42 / $25.70	Professional		$10.23	$20.42	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.98 / $66.07	Facility		$14.13	$16.98	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $58.88 / $64.57	Professional		$18.20	$58.88	$64.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $74.13 / $89.13	Facility		$19.50	$74.13	$89.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $43.65	Professional		$28.18	$43.65	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.85 / $35.48	Facility		$14.13	$15.85	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.78 / $19.50	Professional		$10.47	$17.78	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $38.90 / $58.88	Professional		$8.71	$38.90	$58.88