Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $124.85 / $288.89	Facility		$57.95	$124.85	$288.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $46.36 / $57.95	Professional		$12.72	$46.36	$57.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $16.11 / $20.13	Professional		$10.16	$16.11	$20.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $12.06	Facility		$12.06	$12.06	$12.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $13.84 / $55.36	Professional		$13.84	$13.84	$55.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.44 / $53.28 / $89.21	Facility		$48.44	$53.28	$89.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $31.14 / $31.14	Professional		$12.46	$31.14	$31.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $48.44	Facility		$12.06	$12.06	$48.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $13.84 / $17.88	Professional		$13.83	$13.84	$17.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $27.68 / $41.76	Professional		$8.69	$27.68	$41.76