Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $190.55 / $309.03	Facility		$102.33	$190.55	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $47.86	Professional		$10.96	$14.13	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.98 / $21.38	Professional		$10.72	$16.98	$21.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.45 / $169.82	Facility		$12.59	$14.45	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $58.88	Professional		$14.45	$14.45	$58.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $56.23 / $93.33	Facility		$51.29	$56.23	$93.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $72.44	Professional		$26.92	$33.11	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $18.62	Professional		$10.72	$14.45	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $28.84 / $43.65	Professional		$9.12	$28.84	$43.65