Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $102.33 / $218.78	Facility		$61.66	$102.33	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $46.77	Professional		$10.96	$12.88	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.60 / $20.42	Professional		$10.23	$16.60	$20.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.13 / $147.91	Facility		$12.30	$14.13	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $56.23	Professional		$14.13	$14.13	$56.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $54.95 / $91.20	Facility		$50.12	$54.95	$91.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $70.79	Professional		$26.30	$31.62	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.13 / $18.20	Professional		$10.23	$14.13	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $28.18 / $42.66	Professional		$8.91	$28.18	$42.66