Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.93 / $106.89 / $181.62	Facility		$22.93	$106.89	$181.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $51.89 / $59.39	Professional		$14.25	$51.89	$59.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.80 / $42.80 / $42.80	Facility		$42.80	$42.80	$42.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $17.76 / $22.20	Professional		$11.44	$17.76	$22.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $16.76 / $16.76	Facility		$16.76	$16.76	$16.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $61.96	Professional		$15.49	$15.49	$61.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.22 / $59.64 / $99.92	Facility		$54.22	$59.64	$99.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $34.85 / $34.85	Professional		$13.94	$34.85	$34.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $16.76 / $54.22	Facility		$16.76	$16.76	$54.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $20.03	Professional		$15.49	$15.49	$20.03
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $30.98 / $46.74	Professional		$9.74	$30.98	$46.74