Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $83.76 / $190.68	Facility		$44.59	$83.76	$190.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $47.97 / $54.90	Professional		$11.91	$47.97	$54.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Facility		$39.57	$39.57	$39.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $16.52 / $20.65	Professional		$9.44	$16.52	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $11.74 / $11.74	Facility		$11.74	$11.74	$11.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $14.32 / $57.28	Professional		$14.32	$14.32	$57.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $55.13 / $83.52	Facility		$50.12	$55.13	$83.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $32.22 / $32.22	Professional		$12.89	$32.22	$32.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $11.74 / $50.12	Facility		$11.74	$11.74	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $16.73 / $18.71	Professional		$12.95	$16.73	$18.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $28.64 / $43.21	Professional		$8.14	$28.64	$43.21