Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $114.71 / $201.89	Facility		$48.02	$114.71	$201.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $45.02 / $56.27	Professional		$12.35	$45.02	$56.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $15.69 / $19.62	Professional		$9.80	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $11.70 / $11.70	Facility		$11.70	$11.70	$11.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $13.44 / $53.76	Professional		$13.44	$13.44	$53.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $51.74 / $86.69	Facility		$47.04	$51.74	$86.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $30.24 / $170.00	Professional		$12.10	$30.24	$170.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $11.70 / $47.04	Facility		$11.70	$11.70	$47.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $17.38 / $19.41	Professional		$13.44	$17.38	$19.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $26.88 / $40.54	Professional		$8.44	$26.88	$40.54