Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $194.98 / $194.98	Facility		$85.11	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $64.57	Professional		$15.14	$18.20	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.91 / $28.18	Professional		$14.45	$22.91	$28.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $66.07	Facility		$17.78	$17.78	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $77.62	Professional		$19.50	$19.50	$77.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $75.86 / $125.89	Facility		$69.18	$75.86	$125.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $44.67	Professional		$36.31	$44.67	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $25.12	Professional		$14.45	$19.50	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $38.90 / $58.88	Professional		$12.30	$38.90	$58.88