Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.40 / $116.00 / $264.60	Facility		$75.40	$116.00	$264.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $15.47 / $62.44	Professional		$12.61	$15.47	$62.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.51 / $51.51 / $51.51	Facility		$51.51	$51.51	$51.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $21.48 / $26.85	Professional		$9.61	$21.48	$26.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Facility		$13.58	$13.58	$13.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.64 / $74.56	Professional		$18.64	$18.64	$74.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $68.97 / $74.56	Facility		$65.23	$68.97	$74.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $27.96 / $74.56	Professional		$16.78	$27.96	$74.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Facility		$13.58	$13.58	$13.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $18.64 / $51.26	Professional		$17.71	$18.64	$51.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $37.28 / $56.24	Professional		$8.39	$37.28	$56.24