Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.51 / $105.51 / $176.71	Facility		$63.51	$105.51	$176.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $51.22 / $51.22	Professional		$12.22	$51.22	$51.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $42.25 / $42.25	Facility		$42.25	$42.25	$42.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.35 / $21.68	Professional		$8.71	$17.35	$21.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $12.06	Facility		$12.06	$12.06	$12.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $61.16	Professional		$15.29	$15.29	$61.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $34.40 / $34.40	Professional		$13.76	$34.40	$34.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $12.06	Facility		$12.06	$12.06	$12.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $15.29 / $17.32	Professional		$13.76	$15.29	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $30.58 / $46.13	Professional		$7.54	$30.58	$46.13