Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.64 / $147.29 / $283.50	Facility		$63.64	$147.29	$283.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $51.32 / $58.74	Professional		$14.11	$51.32	$58.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.33 / $42.33 / $42.33	Facility		$42.33	$42.33	$42.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $17.35 / $21.68	Professional		$11.25	$17.35	$21.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $13.36 / $13.36	Facility		$13.36	$13.36	$13.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $61.28	Professional		$15.32	$15.32	$61.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $58.98 / $98.83	Facility		$53.62	$58.98	$98.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $34.47 / $34.47	Professional		$13.79	$34.47	$34.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $13.36 / $53.62	Facility		$13.36	$13.36	$53.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $19.80 / $22.13	Professional		$15.32	$19.80	$22.13
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $30.64 / $46.22	Professional		$9.63	$30.64	$46.22