Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $123.03 / $208.93	Facility		$25.12	$123.03	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $57.54	Professional		$12.88	$15.85	$57.54
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 $11.75 / $19.95 / $24.55	Professional		$11.75	$19.95	$24.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $16.98	Facility		$14.45	$14.45	$16.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $69.18	Professional		$16.98	$16.98	$69.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $66.07 / $104.71	Facility		$60.26	$66.07	$104.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $79.43	Professional		$29.51	$38.90	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
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 / $33.88 / $51.29	Professional		$10.00	$33.88	$51.29