Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $118.64 / $201.57	Facility		$25.44	$118.64	$201.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $57.59 / $65.91	Professional		$15.83	$57.59	$65.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.47 / $47.47 / $47.47	Facility		$47.47	$47.47	$47.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $19.82 / $24.78	Professional		$12.52	$19.82	$24.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $15.60	Facility		$15.60	$15.60	$15.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $17.19 / $68.76	Professional		$17.19	$17.19	$68.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.17 / $66.18 / $110.92	Facility		$60.17	$66.18	$110.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $38.68 / $38.68	Professional		$15.47	$38.68	$38.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $60.17	Facility		$15.60	$15.60	$60.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $22.23 / $24.84	Professional		$17.19	$22.23	$24.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $34.38 / $51.87	Professional		$10.81	$34.38	$51.87