Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $117.32 / $199.33	Facility		$25.16	$117.32	$199.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $56.95 / $65.18	Professional		$15.41	$56.95	$65.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $46.96 / $46.96	Facility		$46.96	$46.96	$46.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $19.82 / $24.78	Professional		$12.34	$19.82	$24.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $15.21 / $15.21	Facility		$15.21	$15.21	$15.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $68.00	Professional		$17.00	$17.00	$68.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $65.45 / $108.21	Facility		$59.50	$65.45	$108.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $38.25 / $38.25	Professional		$15.30	$38.25	$38.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $15.21 / $59.50	Facility		$15.21	$15.21	$59.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $17.00 / $23.14	Professional		$16.78	$17.00	$23.14
United Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $34.00 / $41.42	Professional		$10.55	$34.00	$41.42