Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.42 / $95.06 / $228.20	Facility		$57.42	$95.06	$228.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $18.64 / $57.42	Professional		$16.55	$18.64	$57.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.35 / $47.35 / $47.35	Facility		$47.35	$47.35	$47.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $19.82 / $30.87	Professional		$10.16	$19.82	$30.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $13.47	Facility		$12.49	$12.49	$13.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $51.42 / $68.56	Professional		$15.43	$51.42	$68.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $63.42 / $68.56	Facility		$59.99	$63.42	$68.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $29.92 / $71.84	Professional		$15.43	$29.92	$71.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $22.63	Facility		$12.49	$12.49	$22.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $18.95 / $47.14	Professional		$17.14	$18.95	$47.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $34.28 / $51.71	Professional		$8.98	$34.28	$51.71