Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $113.59 / $192.99	Facility		$31.36	$113.59	$192.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $55.14 / $63.11	Professional		$15.11	$55.14	$63.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $45.48 / $45.48	Facility		$45.48	$45.48	$45.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $19.00 / $23.75	Professional		$12.16	$19.00	$23.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $14.93 / $14.93	Facility		$14.93	$14.93	$14.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $16.46 / $65.84	Professional		$16.46	$16.46	$65.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.61 / $63.37 / $106.22	Facility		$57.61	$63.37	$106.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $37.04 / $156.25	Professional		$14.81	$37.04	$156.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $14.93 / $57.61	Facility		$14.93	$14.93	$57.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $16.46 / $23.79	Professional		$16.46	$16.46	$23.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $32.92 / $40.64	Professional		$10.35	$32.92	$40.64