Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $109.65 / $186.21	Facility		$22.39	$109.65	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $51.29	Professional		$12.02	$14.13	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $21.88	Professional		$11.22	$17.38	$21.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $15.14	Facility		$13.49	$13.49	$15.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $61.66	Professional		$15.14	$15.14	$61.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $58.88 / $97.72	Facility		$53.70	$58.88	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $34.67	Professional		$28.18	$34.67	$34.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $19.95	Professional		$11.22	$15.14	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $30.90 / $45.71	Professional		$9.55	$30.90	$45.71