Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $116.29 / $197.58	Facility		$24.94	$116.29	$197.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $56.45 / $64.59	Professional		$15.50	$56.45	$64.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $46.54 / $46.54	Facility		$46.54	$46.54	$46.54
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 $17.53 / $17.53 / $17.53	Facility		$17.53	$17.53	$17.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $67.40	Professional		$16.85	$16.85	$67.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.98 / $62.35 / $67.40	Facility		$58.98	$62.35	$67.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $31.20 / $83.20	Professional		$15.17	$31.20	$83.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $17.53 / $17.53	Facility		$17.53	$17.53	$17.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $19.76 / $46.34	Professional		$16.85	$19.76	$46.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $33.70 / $50.84	Professional		$9.36	$33.70	$50.84