Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $134.01 / $218.69	Facility		$68.59	$134.01	$218.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $55.84 / $55.84	Professional		$15.34	$55.84	$55.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $46.07 / $46.07	Facility		$46.07	$46.07	$46.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $19.41 / $24.26	Professional		$12.16	$19.41	$24.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $15.12 / $15.12	Facility		$15.12	$15.12	$15.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $16.67 / $66.68	Professional		$16.67	$16.67	$66.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.35 / $64.18 / $107.60	Facility		$58.35	$64.18	$107.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $37.51 / $37.51	Professional		$15.00	$37.51	$37.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $15.12 / $58.35	Facility		$15.12	$15.12	$58.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $16.67 / $24.09	Professional		$16.67	$16.67	$24.09
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $33.34 / $50.30	Professional		$10.48	$33.34	$50.30