Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $115.59 / $196.39	Facility		$24.79	$115.59	$196.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $56.11 / $64.22	Professional		$15.42	$56.11	$64.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $46.28 / $46.28	Facility		$46.28	$46.28	$46.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $19.41 / $24.26	Professional		$12.34	$19.41	$24.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $14.61 / $14.61	Facility		$14.61	$14.61	$14.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $16.75 / $67.00	Professional		$16.75	$16.75	$67.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.63 / $64.48 / $108.07	Facility		$58.63	$64.48	$108.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $37.69 / $37.69	Professional		$15.08	$37.69	$37.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $14.61 / $58.63	Facility		$14.61	$14.61	$58.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $16.75 / $21.66	Professional		$16.75	$16.75	$21.66
United Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $33.50 / $50.54	Professional		$10.53	$33.50	$50.54