Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $114.82 / $194.98	Facility		$23.44	$114.82	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $52.48	Professional		$12.02	$15.14	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.20 / $22.91	Professional		$11.75	$18.20	$22.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $17.38 / $17.38	Facility		$15.85	$17.38	$17.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $64.57	Professional		$15.85	$15.85	$64.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $61.66 / $102.33	Facility		$56.23	$61.66	$102.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $36.31	Professional		$29.51	$36.31	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $20.89	Professional		$11.75	$15.85	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $31.62 / $47.86	Professional		$10.00	$31.62	$47.86