Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.70 / $185.85 / $232.50	Facility		$47.70	$185.85	$232.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $48.81 / $48.81	Professional		$13.39	$48.81	$48.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.25 / $40.25 / $40.25	Facility		$40.25	$40.25	$40.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $16.93 / $21.17	Professional		$10.71	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $13.21 / $13.21	Facility		$13.21	$13.21	$13.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $58.28	Professional		$14.57	$14.57	$58.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $56.09 / $93.99	Facility		$51.00	$56.09	$93.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $32.78 / $158.75	Professional		$13.11	$32.78	$158.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $13.21 / $51.00	Facility		$13.21	$13.21	$51.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $18.84 / $21.05	Professional		$14.57	$18.84	$21.05
United Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $29.14 / $43.96	Professional		$9.16	$29.14	$43.96