Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $123.03 / $213.80	Facility		$25.70	$123.03	$213.80
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 $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $19.95 / $24.55	Professional		$7.59	$19.95	$24.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $17.38	Facility		$12.59	$12.59	$17.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $69.18	Professional		$17.38	$17.38	$69.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $69.18	Facility		$56.23	$64.57	$69.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $38.90 / $38.90	Professional		$21.38	$38.90	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.49 / $17.38	Professional		$7.59	$15.49	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $34.67 / $52.48	Professional		$6.61	$34.67	$52.48