Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.04 / $90.56 / $153.15	Facility		$55.04	$90.56	$153.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $44.39 / $50.80	Professional		$12.18	$44.39	$50.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $36.59 / $36.59	Facility		$36.59	$36.59	$36.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $15.28 / $19.10	Professional		$9.80	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Facility		$11.55	$11.55	$11.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $53.00	Professional		$13.25	$13.25	$53.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $51.01 / $85.46	Facility		$46.38	$51.01	$85.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $29.81 / $29.81	Professional		$11.93	$29.81	$29.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $11.55 / $46.38	Facility		$11.55	$11.55	$46.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $17.13 / $19.14	Professional		$13.25	$17.13	$19.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $26.50 / $39.97	Professional		$8.33	$26.50	$39.97