Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $108.89 / $185.01	Facility		$23.35	$108.89	$185.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $52.86 / $60.50	Professional		$13.40	$52.86	$60.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $43.61 / $43.61	Facility		$43.61	$43.61	$43.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $18.17 / $22.72	Professional		$10.71	$18.17	$22.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Facility		$13.20	$13.20	$13.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $15.78 / $63.12	Professional		$15.78	$15.78	$63.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.23 / $60.75 / $93.95	Facility		$55.23	$60.75	$93.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $35.51 / $35.51	Professional		$14.20	$35.51	$35.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $13.20 / $55.23	Facility		$13.20	$13.20	$55.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $18.82 / $21.03	Professional		$14.56	$18.82	$21.03
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $31.56 / $47.61	Professional		$9.15	$31.56	$47.61