Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $134.90 / $234.42	Facility		$28.18	$134.90	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $63.10	Professional		$15.14	$18.20	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $27.54	Professional		$14.13	$21.88	$27.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $19.05	Facility		$10.00	$10.00	$19.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $75.86	Professional		$19.05	$19.05	$75.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $72.44 / $123.03	Facility		$66.07	$72.44	$123.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $42.66	Professional		$34.67	$42.66	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $24.55	Professional		$14.13	$19.05	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $38.02 / $57.54	Professional		$12.02	$38.02	$57.54