Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $113.79 / $193.34	Facility		$24.41	$113.79	$193.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $55.24 / $106.03	Professional		$55.24	$55.24	$106.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.56 / $45.56 / $45.56	Facility		$45.56	$45.56	$45.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $19.00 / $23.75	Professional		$10.16	$19.00	$23.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $12.01 / $12.01	Facility		$12.01	$12.01	$12.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $16.48 / $65.95	Professional		$16.48	$16.48	$65.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.71 / $63.49 / $89.44	Facility		$57.71	$63.49	$89.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $37.10 / $37.10	Professional		$14.84	$37.10	$37.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $12.01 / $57.71	Facility		$12.01	$12.01	$57.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $17.93 / $20.02	Professional		$14.84	$17.93	$20.02
United Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $32.97 / $49.75	Professional		$8.72	$32.97	$49.75