Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.40 / $114.87 / $194.27	Facility		$47.40	$114.87	$194.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $20.95 / $56.31	Professional		$10.84	$20.95	$56.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $46.45	Facility		$46.45	$46.45	$46.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $19.41 / $24.26	Professional		$8.71	$19.41	$24.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $12.25 / $12.25	Facility		$12.25	$12.25	$12.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $50.43 / $67.23	Professional		$15.13	$50.43	$67.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $65.31 / $77.36	Facility		$58.83	$65.31	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $37.82 / $37.82	Professional		$15.13	$37.82	$37.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $12.25 / $12.25	Facility		$12.25	$12.25	$12.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $15.50 / $16.80	Professional		$15.13	$15.50	$16.80
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $33.61 / $50.72	Professional		$7.54	$33.61	$50.72