Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $113.53 / $192.89	Facility		$24.35	$113.53	$192.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $55.11 / $63.07	Professional		$15.11	$55.11	$63.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $45.43 / $45.43	Facility		$45.43	$45.43	$45.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $19.00 / $23.75	Professional		$11.98	$19.00	$23.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $14.92 / $14.92	Facility		$14.92	$14.92	$14.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $65.80	Professional		$16.45	$16.45	$65.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $63.33 / $106.13	Facility		$57.57	$63.33	$106.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $37.01 / $37.01	Professional		$14.81	$37.01	$37.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $14.92 / $57.57	Facility		$14.92	$14.92	$57.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $21.27	Professional		$16.45	$16.45	$21.27
United Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $32.90 / $49.63	Professional		$10.35	$32.90	$49.63