Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $110.42 / $187.60	Facility		$66.45	$110.42	$187.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $53.60	Professional		$53.60	$53.60	$53.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.20 / $44.20 / $44.20	Facility		$44.20	$44.20	$44.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $22.72	Professional		$18.17	$18.17	$22.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $12.96 / $19.84	Facility		$10.52	$12.96	$19.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $64.00	Professional		$16.00	$16.00	$64.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $59.20 / $64.00	Facility		$56.00	$59.20	$64.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $24.00 / $64.00	Professional		$14.40	$24.00	$64.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $12.96 / $29.28	Facility		$10.56	$12.96	$29.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $16.00 / $44.00	Professional		$15.20	$16.00	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $32.00 / $48.28	Professional		$7.20	$32.00	$48.28