Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $103.52 / $175.88	Facility		$22.20	$103.52	$175.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $50.25 / $57.51	Professional		$11.05	$50.25	$57.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.44 / $41.44 / $41.44	Facility		$41.44	$41.44	$41.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.93 / $21.17	Professional		$8.71	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $10.92 / $10.92	Facility		$10.92	$10.92	$10.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $60.00	Professional		$15.00	$15.00	$60.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $57.75 / $77.36	Facility		$52.50	$57.75	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $33.75 / $33.75	Professional		$13.50	$33.75	$33.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $10.92 / $52.50	Facility		$10.92	$10.92	$52.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $15.00 / $15.50	Professional		$13.50	$15.00	$15.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $30.00 / $45.26	Professional		$7.54	$30.00	$45.26