Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $116.41 / $197.79	Facility		$24.97	$116.41	$197.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $56.51 / $56.51	Professional		$15.49	$56.51	$56.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.62 / $46.62 / $46.62	Facility		$46.62	$46.62	$46.62
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 $15.29 / $15.29 / $15.29	Facility		$15.29	$15.29	$15.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $16.87 / $67.48	Professional		$16.87	$16.87	$67.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.05 / $64.95 / $108.78	Facility		$59.05	$64.95	$108.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $37.96 / $37.96	Professional		$15.18	$37.96	$37.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $59.05	Facility		$15.29	$15.29	$59.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $16.87 / $21.80	Professional		$16.87	$16.87	$21.80
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $33.74 / $50.90	Professional		$10.61	$33.74	$50.90