Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $89.13 / $288.40	Facility		$41.69	$89.13	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $51.29	Professional		$12.88	$15.14	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.50 / $23.99	Professional		$12.30	$19.50	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.98 / $229.09	Facility		$14.79	$16.98	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $67.61	Professional		$16.98	$19.95	$67.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $64.57 / $109.65	Facility		$58.88	$64.57	$109.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $83.18	Professional		$31.62	$38.02	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $21.88	Professional		$12.30	$16.98	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $33.88 / $51.29	Professional		$10.72	$33.88	$51.29