Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $114.82 / $199.53	Facility		$23.99	$114.82	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $53.70	Professional		$12.88	$15.14	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $18.62 / $23.44	Professional		$9.55	$18.62	$23.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $16.22	Facility		$11.75	$11.75	$16.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $64.57	Professional		$16.22	$16.22	$64.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $61.66 / $85.11	Facility		$56.23	$61.66	$85.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $36.31	Professional		$24.55	$36.31	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $16.98	Professional		$9.55	$14.45	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $32.36 / $48.98	Professional		$8.32	$32.36	$48.98