Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $95.16 / $248.51	Facility		$52.68	$95.16	$248.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $42.48 / $48.62	Professional		$11.67	$42.48	$48.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.02 / $35.02 / $35.02	Facility		$35.02	$35.02	$35.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $14.46 / $18.07	Professional		$9.26	$14.46	$18.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $11.52 / $11.52	Facility		$11.52	$11.52	$11.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $12.68 / $50.72	Professional		$12.68	$12.68	$50.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.38 / $48.82 / $81.86	Facility		$44.38	$48.82	$81.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $28.53 / $28.53	Professional		$11.41	$28.53	$28.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $11.52 / $44.38	Facility		$11.52	$11.52	$44.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $12.68 / $16.41	Professional		$12.68	$12.68	$16.41
United Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $25.36 / $38.26	Professional		$7.98	$25.36	$38.26