Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $117.15 / $266.56	Facility		$48.02	$117.15	$266.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $46.03 / $46.03	Professional		$12.65	$46.03	$46.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Facility		$37.95	$37.95	$37.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $15.69 / $19.62	Professional		$9.98	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $11.99 / $11.99	Facility		$11.99	$11.99	$11.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $54.96	Professional		$13.74	$13.74	$54.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.09 / $52.90 / $88.59	Facility		$48.09	$52.90	$88.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $30.92 / $167.50	Professional		$12.37	$30.92	$167.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $11.99 / $48.09	Facility		$11.99	$11.99	$48.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $17.76 / $19.84	Professional		$13.74	$17.76	$19.84
United Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $27.48 / $41.46	Professional		$8.64	$27.48	$41.46