Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.17 / $132.76 / $220.50	Facility		$56.17	$132.76	$220.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $22.07 / $56.18	Professional		$19.60	$22.07	$56.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.33 / $46.33 / $46.33	Facility		$46.33	$46.33	$46.33
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 $14.63 / $14.63 / $14.63	Facility		$14.63	$14.63	$14.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $16.77 / $67.08	Professional		$16.77	$16.77	$67.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $64.56 / $108.21	Facility		$58.70	$64.56	$108.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $37.72 / $218.75	Professional		$15.09	$37.72	$218.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $14.63 / $58.70	Facility		$14.63	$14.63	$58.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $20.71 / $23.14	Professional		$16.77	$20.71	$23.14
United Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $33.54 / $50.60	Professional		$10.55	$33.54	$50.60