Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $134.90 / $218.78	Facility		$67.61	$134.90	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $54.95	Professional		$12.88	$15.14	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $23.99	Professional		$12.02	$19.50	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.60 / $134.90	Facility		$15.14	$16.60	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $66.07	Professional		$16.60	$16.60	$66.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $64.57 / $107.15	Facility		$58.88	$64.57	$107.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $37.15	Professional		$30.90	$37.15	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $21.38	Professional		$12.02	$16.60	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $33.11 / $50.12	Professional		$10.47	$33.11	$50.12