Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $113.38 / $192.64	Facility		$24.32	$113.38	$192.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $55.04 / $62.99	Professional		$11.05	$55.04	$62.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.39 / $45.39 / $45.39	Facility		$45.39	$45.39	$45.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $19.00 / $23.75	Professional		$8.71	$19.00	$23.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $11.96 / $11.96	Facility		$11.96	$11.96	$11.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $16.43 / $65.72	Professional		$16.43	$16.43	$65.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $63.26 / $77.36	Facility		$57.50	$63.26	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $36.97 / $36.97	Professional		$14.79	$36.97	$36.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $11.96 / $57.50	Facility		$11.96	$11.96	$57.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.50 / $17.32	Professional		$14.79	$15.50	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $32.86 / $49.57	Professional		$7.54	$32.86	$49.57