Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $128.82 / $223.87	Facility		$67.61	$128.82	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $52.48	Professional		$12.88	$15.14	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.62 / $23.44	Professional		$11.75	$18.62	$23.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.22 / $114.82	Facility		$14.13	$16.22	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $64.57	Professional		$16.22	$16.22	$64.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $61.66 / $104.71	Facility		$56.23	$61.66	$104.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $79.43	Professional		$29.51	$36.31	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.22 / $20.89	Professional		$11.75	$16.22	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $32.36 / $48.98	Professional		$10.00	$32.36	$48.98