Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $108.62 / $184.56	Facility		$23.30	$108.62	$184.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $52.73 / $60.35	Professional		$14.49	$52.73	$60.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $43.48 / $43.48	Facility		$43.48	$43.48	$43.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $18.17 / $22.72	Professional		$11.62	$18.17	$22.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $14.27 / $14.27	Facility		$14.27	$14.27	$14.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $15.74 / $62.96	Professional		$15.74	$15.74	$62.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $60.60 / $101.53	Facility		$55.09	$60.60	$101.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $35.42 / $35.42	Professional		$14.17	$35.42	$35.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $14.27 / $55.09	Facility		$14.27	$14.27	$55.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $15.74 / $20.35	Professional		$15.74	$15.74	$20.35
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $31.48 / $47.49	Professional		$9.90	$31.48	$47.49