Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $121.81 / $204.00	Facility		$26.12	$121.81	$204.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $59.13 / $67.67	Professional		$16.25	$59.13	$67.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $48.75	Facility		$48.75	$48.75	$48.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $20.65 / $25.81	Professional		$12.89	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Facility		$16.00	$16.00	$16.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $17.64 / $70.59	Professional		$17.64	$17.64	$70.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.77 / $67.95 / $113.81	Facility		$61.77	$67.95	$113.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $39.71 / $39.71	Professional		$15.89	$39.71	$39.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.00 / $61.77	Facility		$16.00	$16.00	$61.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $20.71 / $23.14	Professional		$17.64	$20.71	$23.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $35.29 / $53.25	Professional		$11.10	$35.29	$53.25