Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $114.82 / $181.97	Facility		$64.57	$114.82	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $48.98	Professional		$12.02	$12.88	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $70.79	Facility		$14.79	$14.79	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $47.86	Professional		$14.79	$14.79	$47.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $54.95 / $58.88	Facility		$52.48	$54.95	$58.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $40.74 / $70.79	Facility		$12.02	$40.74	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $29.51 / $44.67	Professional		$8.91	$29.51	$44.67