Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.16 / $116.56 / $201.01	Facility		$70.16	$116.56	$201.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $56.58 / $108.60	Professional		$56.58	$56.58	$108.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Facility		$46.67	$46.67	$46.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $19.41 / $24.26	Professional		$10.53	$19.41	$24.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $16.89 / $67.56	Professional		$16.89	$16.89	$67.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.12 / $65.03 / $92.81	Facility		$59.12	$65.03	$92.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $29.61 / $71.08	Professional		$15.20	$29.61	$71.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $59.12	Facility		$12.30	$12.30	$59.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $18.60 / $46.45	Professional		$16.89	$18.60	$46.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $33.78 / $35.54	Professional		$8.91	$33.78	$35.54