Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $113.17 / $233.10	Facility		$62.64	$113.17	$233.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $50.52 / $57.82	Professional		$13.88	$50.52	$57.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.65 / $41.65 / $41.65	Facility		$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $17.35 / $21.68	Professional		$11.07	$17.35	$21.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $13.14 / $13.14	Facility		$13.14	$13.14	$13.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $60.32	Professional		$15.08	$15.08	$60.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $58.06 / $97.22	Facility		$52.78	$58.06	$97.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $33.93 / $236.25	Professional		$13.57	$33.93	$236.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $13.14 / $52.78	Facility		$13.14	$13.14	$52.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $19.48	Professional		$15.08	$15.08	$19.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $30.16 / $45.50	Professional		$9.48	$30.16	$45.50