Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $158.49 / $194.98	Facility		$60.26	$158.49	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $52.48	Professional		$12.88	$15.14	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.50 / $23.99	Professional		$12.30	$19.50	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.98 / $87.10	Facility		$15.14	$16.98	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $67.61	Professional		$16.98	$16.98	$67.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $64.57 / $109.65	Facility		$58.88	$64.57	$109.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $38.02	Professional		$30.90	$38.02	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $21.88	Professional		$12.30	$16.98	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $33.88 / $51.29	Professional		$10.47	$33.88	$51.29