Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $168.03 / $316.54	Facility		$63.45	$168.03	$316.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $48.81 / $55.86	Professional		$13.40	$48.81	$55.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.25 / $40.25 / $40.25	Facility		$40.25	$40.25	$40.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $16.93 / $21.17	Professional		$10.71	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $12.69 / $12.69	Facility		$12.69	$12.69	$12.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $58.28	Professional		$14.57	$14.57	$58.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $56.09 / $93.95	Facility		$51.00	$56.09	$93.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $32.78 / $145.00	Professional		$13.11	$32.78	$145.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $12.69 / $51.00	Facility		$12.69	$12.69	$51.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $14.57 / $21.03	Professional		$14.56	$14.57	$21.03
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $29.14 / $43.96	Professional		$9.15	$29.14	$43.96