Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $110.24 / $186.44	Facility		$23.87	$110.24	$186.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $54.04 / $61.84	Professional		$14.83	$54.04	$61.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $44.54 / $44.54	Facility		$44.54	$44.54	$44.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $18.59 / $23.23	Professional		$11.80	$18.59	$23.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $14.62 / $14.62	Facility		$14.62	$14.62	$14.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.13 / $64.52	Professional		$16.13	$16.13	$64.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.46 / $62.10 / $104.00	Facility		$56.46	$62.10	$104.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $36.29 / $36.29	Professional		$14.52	$36.29	$36.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $14.62 / $56.46	Facility		$14.62	$14.62	$56.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.13 / $20.84	Professional		$16.13	$16.13	$20.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $32.26 / $48.67	Professional		$10.13	$32.26	$48.67