Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $110.35 / $187.50	Facility		$23.67	$110.35	$187.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $53.57 / $102.82	Professional		$53.57	$53.57	$102.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $44.16 / $44.16	Facility		$44.16	$44.16	$44.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $18.17 / $22.72	Professional		$11.80	$18.17	$22.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Facility		$17.30	$17.30	$17.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $63.96	Professional		$15.99	$15.99	$63.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $61.56 / $103.14	Facility		$55.97	$61.56	$103.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $35.97 / $35.97	Professional		$14.39	$35.97	$35.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $55.97	Facility		$17.30	$17.30	$55.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $20.67 / $23.09	Professional		$15.98	$20.67	$23.09
United Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $31.98 / $48.25	Professional		$10.05	$31.98	$48.25