Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.39 / $179.16 / $348.77	Facility		$64.39	$179.16	$348.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $51.93 / $51.93	Professional		$20.39	$51.93	$51.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $17.76 / $22.20	Professional		$11.44	$17.76	$22.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $14.05	Facility		$14.05	$14.05	$14.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $15.50 / $62.00	Professional		$15.50	$15.50	$62.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $59.68 / $99.97	Facility		$54.25	$59.68	$99.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $31.89 / $76.52	Professional		$13.95	$31.89	$76.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $54.25	Facility		$14.05	$14.05	$54.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $20.04 / $42.63	Professional		$15.50	$20.04	$42.63
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $31.00 / $46.77	Professional		$9.74	$31.00	$46.77