Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $112.21 / $187.92	Facility		$48.02	$112.21	$187.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $54.47 / $68.08	Professional		$14.96	$54.47	$68.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.92 / $44.92 / $44.92	Facility		$44.92	$44.92	$44.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $18.59 / $23.23	Professional		$11.98	$18.59	$23.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $14.17 / $14.17	Facility		$14.17	$14.17	$14.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $16.26 / $65.04	Professional		$16.26	$16.26	$65.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.91 / $62.60 / $104.85	Facility		$56.91	$62.60	$104.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $36.59 / $36.59	Professional		$14.63	$36.59	$36.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $14.17 / $56.91	Facility		$14.17	$14.17	$56.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $21.01 / $23.49	Professional		$16.25	$21.01	$23.49
United Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $32.52 / $49.06	Professional		$10.22	$32.52	$49.06