Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.04 / $122.91 / $369.62	Facility		$68.04	$122.91	$369.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $54.87 / $54.87	Professional		$15.08	$54.87	$54.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $45.26	Facility		$45.26	$45.26	$45.26
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 $14.87 / $14.87 / $14.87	Facility		$14.87	$14.87	$14.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $16.38 / $65.52	Professional		$16.38	$16.38	$65.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $63.06 / $105.70	Facility		$57.33	$63.06	$105.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $36.86 / $255.03	Professional		$14.74	$36.86	$255.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $14.87 / $57.33	Facility		$14.87	$14.87	$57.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $21.19 / $23.67	Professional		$16.38	$21.19	$23.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $32.76 / $49.42	Professional		$10.31	$32.76	$49.42