Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $114.82 / $194.98	Facility		$23.99	$114.82	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $52.48	Professional		$12.88	$15.14	$52.48
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 $8.71 / $18.62 / $23.44	Professional		$8.71	$18.62	$23.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $16.22	Facility		$11.75	$11.75	$16.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.22 / $64.57	Professional		$15.14	$16.22	$64.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $61.66 / $77.62	Facility		$56.23	$61.66	$77.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $36.31	Professional		$23.99	$36.31	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.45 / $16.22	Professional		$8.71	$14.45	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $32.36 / $48.98	Professional		$7.59	$32.36	$48.98