Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $110.42 / $187.60	Facility		$23.68	$110.42	$187.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $102.88	Professional		$53.60	$53.60	$102.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.20 / $44.20 / $44.20	Facility		$44.20	$44.20	$44.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.17 / $22.72	Professional		$8.71	$18.17	$22.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $11.65 / $11.65	Facility		$11.65	$11.65	$11.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $64.00	Professional		$16.00	$16.00	$64.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $61.60 / $77.36	Facility		$56.00	$61.60	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $36.00 / $36.00	Professional		$14.40	$36.00	$36.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $11.65 / $56.00	Facility		$11.65	$11.65	$56.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $15.50 / $17.32	Professional		$14.40	$15.50	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $32.00 / $48.28	Professional		$7.54	$32.00	$48.28