Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $107.15 / $812.83	Facility		$63.10	$107.15	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $125.89	Professional		$14.13	$21.38	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.42 / $25.70	Professional		$13.18	$20.42	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $630.96	Facility		$15.49	$17.78	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $72.44	Professional		$17.78	$17.78	$72.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $69.18 / $114.82	Facility		$63.10	$69.18	$114.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $89.13	Professional		$33.11	$40.74	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $20.89	Professional		$13.18	$17.78	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $35.48 / $53.70	Professional		$11.22	$35.48	$53.70