Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $193.57 / $419.84	Facility		$44.98	$193.57	$419.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.46 / $54.61	Professional		$19.05	$21.46	$54.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Facility		$45.05	$45.05	$45.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $18.59 / $23.23	Professional		$11.98	$18.59	$23.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $14.78 / $14.78	Facility		$14.78	$14.78	$14.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $65.20	Professional		$16.30	$16.30	$65.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $62.76 / $105.18	Facility		$57.05	$62.76	$105.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $36.68 / $194.38	Professional		$14.67	$36.68	$194.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $14.78 / $57.05	Facility		$14.78	$14.78	$57.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $21.08	Professional		$16.30	$16.30	$21.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $32.60 / $40.24	Professional		$10.25	$32.60	$40.24