Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $104.96 / $178.33	Facility		$22.51	$104.96	$178.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $50.95 / $58.32	Professional		$14.00	$50.95	$58.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.03 / $42.03 / $42.03	Facility		$42.03	$42.03	$42.03
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 $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $15.21 / $60.84	Professional		$15.21	$15.21	$60.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $58.56 / $98.07	Facility		$53.24	$58.56	$98.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $34.22 / $34.22	Professional		$13.69	$34.22	$34.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $53.24	Facility		$13.80	$13.80	$53.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $15.21 / $19.66	Professional		$15.21	$15.21	$19.66
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $30.42 / $45.89	Professional		$9.56	$30.42	$45.89