Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $110.89 / $188.41	Facility		$23.78	$110.89	$188.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $53.83 / $53.83	Professional		$11.05	$53.83	$53.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $44.41 / $44.41	Facility		$44.41	$44.41	$44.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.59 / $23.23	Professional		$8.71	$18.59	$23.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $11.70 / $11.70	Facility		$11.70	$11.70	$11.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $64.28	Professional		$16.07	$16.07	$64.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.25 / $61.87 / $77.36	Facility		$56.25	$61.87	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $36.15 / $36.15	Professional		$14.46	$36.15	$36.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $11.70 / $56.25	Facility		$11.70	$11.70	$56.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $15.50 / $16.07	Professional		$14.46	$15.50	$16.07
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $32.14 / $48.49	Professional		$7.54	$32.14	$48.49