Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $117.49 / $199.53	Facility		$23.99	$117.49	$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 $6.92 / $19.05 / $23.99	Professional		$6.92	$19.05	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $74.13	Facility		$8.13	$8.13	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $52.48 / $66.07	Professional		$15.14	$52.48	$66.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $66.07	Facility		$51.29	$60.26	$66.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $37.15 / $37.15	Professional		$19.50	$37.15	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $14.79 / $16.22	Professional		$6.92	$14.79	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $32.36 / $48.98	Professional		$6.03	$32.36	$48.98