Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $116.70 / $198.28	Facility		$25.03	$116.70	$198.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $56.65 / $64.83	Professional		$15.57	$56.65	$64.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $46.71 / $46.71	Facility		$46.71	$46.71	$46.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $19.41 / $24.26	Professional		$12.34	$19.41	$24.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $14.74 / $14.74	Facility		$14.74	$14.74	$14.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $67.64	Professional		$16.91	$16.91	$67.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.19 / $65.09 / $109.07	Facility		$59.19	$65.09	$109.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $38.04 / $38.04	Professional		$15.22	$38.04	$38.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $14.74 / $59.19	Facility		$14.74	$14.74	$59.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $21.86	Professional		$16.91	$16.91	$21.86
United Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $33.82 / $51.02	Professional		$10.63	$33.82	$51.02