Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $109.30 / $185.71	Facility		$23.44	$109.30	$185.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $53.06 / $53.06	Professional		$14.58	$53.06	$53.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $43.78 / $43.78	Facility		$43.78	$43.78	$43.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $18.17 / $22.72	Professional		$11.62	$18.17	$22.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $14.38 / $14.38	Facility		$14.38	$14.38	$14.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $15.84 / $63.36	Professional		$15.84	$15.84	$63.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.44 / $60.98 / $102.19	Facility		$55.44	$60.98	$102.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $35.64 / $35.64	Professional		$14.26	$35.64	$35.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $14.38 / $55.44	Facility		$14.38	$14.38	$55.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $15.84 / $22.89	Professional		$15.84	$15.84	$22.89
United Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $31.68 / $47.79	Professional		$9.96	$31.68	$47.79