Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.80 / $120.58 / $432.18	Facility		$59.80	$120.58	$432.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $53.83 / $67.28	Professional		$14.78	$53.83	$67.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $44.41 / $44.41	Facility		$44.41	$44.41	$44.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $18.59 / $23.23	Professional		$11.80	$18.59	$23.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $64.28	Professional		$16.07	$16.07	$64.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.25 / $61.87 / $103.66	Facility		$56.25	$61.87	$103.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $36.15 / $36.15	Professional		$14.46	$36.15	$36.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $56.25	Facility		$14.00	$14.00	$56.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $20.78	Professional		$16.07	$16.07	$20.78
United Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $32.14 / $48.49	Professional		$10.10	$32.14	$48.49