Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $110.35 / $187.50	Facility		$23.67	$110.35	$187.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $53.57 / $102.82	Professional		$53.57	$53.57	$102.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $44.16 / $44.16	Facility		$44.16	$44.16	$44.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $18.17 / $22.72	Professional		$9.61	$18.17	$22.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $11.64 / $11.64	Facility		$11.64	$11.64	$11.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $63.96	Professional		$15.99	$15.99	$63.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $61.56 / $85.08	Facility		$55.97	$61.56	$85.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $35.97 / $35.97	Professional		$14.39	$35.97	$35.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $11.64 / $55.97	Facility		$11.64	$11.64	$55.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $15.99 / $17.05	Professional		$14.39	$15.99	$17.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $31.98 / $48.25	Professional		$8.28	$31.98	$48.25