Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $123.03 / $213.80	Facility		$25.70	$123.03	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $57.54	Professional		$14.13	$15.85	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $20.42 / $25.12	Professional		$12.59	$20.42	$25.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $17.38	Facility		$15.85	$15.85	$17.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $69.18	Professional		$17.38	$17.38	$69.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $66.07 / $112.20	Facility		$60.26	$66.07	$112.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $38.90	Professional		$32.36	$38.90	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $22.39	Professional		$12.59	$17.38	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $34.67 / $52.48	Professional		$10.96	$34.67	$52.48