Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $114.50 / $191.75	Facility		$24.55	$114.50	$191.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $55.58 / $63.61	Professional		$15.26	$55.58	$63.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.82 / $45.82 / $45.82	Facility		$45.82	$45.82	$45.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $19.00 / $23.75	Professional		$12.16	$19.00	$23.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Facility		$15.04	$15.04	$15.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $16.59 / $66.36	Professional		$16.59	$16.59	$66.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $63.87 / $107.03	Facility		$58.07	$63.87	$107.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $37.33 / $37.33	Professional		$14.93	$37.33	$37.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $58.07	Facility		$15.04	$15.04	$58.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $21.45 / $23.98	Professional		$16.59	$21.45	$23.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $33.18 / $50.06	Professional		$10.43	$33.18	$50.06