Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.08 / $94.82 / $161.11	Facility		$57.08	$94.82	$161.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $46.03 / $46.03	Professional		$46.03	$46.03	$46.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Facility		$37.95	$37.95	$37.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $19.62	Professional		$15.69	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $10.99 / $16.63	Facility		$7.28	$10.99	$16.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $54.96	Professional		$13.74	$13.74	$54.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.09 / $50.84 / $54.96	Facility		$48.09	$50.84	$54.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $22.91 / $61.08	Professional		$12.37	$22.91	$61.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $10.99 / $26.79	Facility		$7.28	$10.99	$26.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $14.51 / $37.79	Professional		$13.74	$14.51	$37.79
United Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $27.48 / $41.46	Professional		$6.87	$27.48	$41.46