Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $105.18 / $215.47	Facility		$64.45	$105.18	$215.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $51.56 / $59.01	Professional		$14.16	$51.56	$59.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $42.50 / $42.50	Facility		$42.50	$42.50	$42.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $17.76 / $22.20	Professional		$11.25	$17.76	$22.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $13.95 / $13.95	Facility		$13.95	$13.95	$13.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $15.39 / $61.56	Professional		$15.39	$15.39	$61.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $59.25 / $99.26	Facility		$53.87	$59.25	$99.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $34.63 / $34.63	Professional		$13.85	$34.63	$34.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $13.95 / $53.87	Facility		$13.95	$13.95	$53.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $19.89 / $22.23	Professional		$15.39	$19.89	$22.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $30.78 / $46.43	Professional		$9.68	$30.78	$46.43