Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.56 / $105.60 / $176.85	Facility		$63.56	$105.60	$176.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $51.26 / $98.38	Professional		$51.26	$51.26	$98.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $42.29 / $42.29	Facility		$42.29	$42.29	$42.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $17.35 / $21.68	Professional		$8.35	$17.35	$21.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $11.14 / $11.14	Facility		$11.14	$11.14	$11.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $61.20	Professional		$15.30	$15.30	$61.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $58.91 / $73.84	Facility		$53.55	$58.91	$73.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $34.43 / $122.50	Professional		$13.77	$34.43	$122.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $11.14 / $53.55	Facility		$11.14	$11.14	$53.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $14.80 / $16.54	Professional		$13.77	$14.80	$16.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $30.60 / $46.16	Professional		$7.20	$30.60	$46.16