Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $107.15 / $218.78	Facility		$52.48	$107.15	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $52.48	Professional		$12.02	$14.13	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $22.39	Professional		$11.48	$17.78	$22.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.49 / $70.79	Facility		$13.49	$15.49	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $61.66	Professional		$15.49	$15.49	$61.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $60.26 / $83.18	Facility		$54.95	$60.26	$83.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $35.48	Professional		$26.92	$35.48	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $16.60	Professional		$11.48	$15.49	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $30.90 / $46.77	Professional		$9.77	$30.90	$46.77