Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $109.74 / $186.45	Facility		$23.53	$109.74	$186.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $53.27 / $102.24	Professional		$53.27	$53.27	$102.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $43.95 / $43.95	Facility		$43.95	$43.95	$43.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $18.17 / $22.72	Professional		$10.89	$18.17	$22.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $17.21 / $17.21	Facility		$17.21	$17.21	$17.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $15.90 / $63.60	Professional		$15.90	$15.90	$63.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $61.22 / $96.13	Facility		$55.65	$61.22	$96.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $35.78 / $35.78	Professional		$14.31	$35.78	$35.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $17.21 / $55.65	Facility		$17.21	$17.21	$55.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $15.90 / $21.53	Professional		$14.90	$15.90	$21.53
United Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $31.80 / $36.82	Professional		$9.36	$31.80	$36.82