Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $75.70 / $171.20	Facility		$66.51	$75.70	$171.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $53.21 / $53.21	Professional		$53.21	$53.21	$53.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $38.15	Facility		$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $40.67 / $73.41	Professional		$32.43	$40.67	$73.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $19.10	Facility		$19.10	$19.10	$19.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $58.45 / $92.30	Professional		$17.44	$58.45	$92.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Professional		$59.92	$59.92	$59.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $38.15	Facility		$19.10	$19.10	$38.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $40.67 / $73.41	Professional		$32.43	$40.67	$73.41
United Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $52.44 / $80.78	Professional		$31.30	$52.44	$80.78