Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $131.53 / $186.04	Facility		$57.28	$131.53	$186.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $45.83 / $45.83	Professional		$12.55	$45.83	$45.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.78 / $37.78 / $37.78	Facility		$37.78	$37.78	$37.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $15.69 / $19.62	Professional		$9.98	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $12.39 / $12.39	Facility		$12.39	$12.39	$12.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $13.68 / $54.72	Professional		$13.68	$13.68	$54.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $30.78 / $155.80	Professional		$12.31	$30.78	$155.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $12.39 / $12.39	Facility		$12.39	$12.39	$12.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $13.68 / $17.67	Professional		$13.68	$13.68	$17.67
United Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $27.36 / $41.28	Professional		$8.59	$27.36	$41.28