Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $115.94 / $196.98	Facility		$24.86	$115.94	$196.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $108.02	Professional		$56.28	$56.28	$108.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $46.41 / $46.41	Facility		$46.41	$46.41	$46.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $19.41 / $24.26	Professional		$9.08	$19.41	$24.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $12.24 / $12.24	Facility		$12.24	$12.24	$12.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $67.20	Professional		$16.80	$16.80	$67.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $64.68 / $80.48	Facility		$58.80	$64.68	$80.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $37.79 / $37.79	Professional		$15.12	$37.79	$37.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $12.24 / $58.80	Facility		$12.24	$12.24	$58.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $5.50 / $16.80	Professional		$4.92	$5.50	$16.80
United Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $33.60 / $50.69	Professional		$7.84	$33.60	$50.69