Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $112.76 / $191.59	Facility		$67.88	$112.76	$191.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $54.74 / $62.65	Professional		$15.03	$54.74	$62.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $45.14 / $45.14	Facility		$45.14	$45.14	$45.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $19.00 / $23.75	Professional		$11.98	$19.00	$23.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $14.83 / $14.83	Facility		$14.83	$14.83	$14.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $16.34 / $65.36	Professional		$16.34	$16.34	$65.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.19 / $62.91 / $105.42	Facility		$57.19	$62.91	$105.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $36.77 / $36.77	Professional		$14.71	$36.77	$36.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $14.83 / $57.19	Facility		$14.83	$14.83	$57.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $16.34 / $23.61	Professional		$16.34	$16.34	$23.61
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $32.68 / $49.30	Professional		$10.27	$32.68	$49.30