Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $124.84 / $212.10	Facility		$26.77	$124.84	$212.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $60.60 / $63.63	Professional		$15.11	$60.60	$63.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $49.98 / $49.98	Facility		$49.98	$49.98	$49.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $20.77 / $25.97	Professional		$9.44	$20.77	$25.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Facility		$9.05	$9.05	$9.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $18.09 / $72.36	Professional		$18.09	$18.09	$72.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $40.70 / $40.70	Professional		$16.28	$40.70	$40.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Facility		$9.05	$9.05	$9.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $16.73 / $18.71	Professional		$16.28	$16.73	$18.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $36.18 / $54.58	Professional		$8.14	$36.18	$54.58