Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $107.15 / $169.82	Facility		$58.88	$107.15	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $45.71	Professional		$10.96	$12.02	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.50	Professional		$15.85	$15.85	$19.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $13.80 / $61.66	Facility		$7.24	$13.80	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $41.69 / $54.95	Professional		$13.80	$41.69	$54.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $51.29 / $54.95	Facility		$47.86	$51.29	$54.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $30.90	Professional		$22.91	$30.90	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.96 / $25.12	Facility		$7.24	$10.96	$25.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $60.26	Professional		$13.80	$13.80	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $27.54 / $41.69	Professional		$6.92	$27.54	$41.69