Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.74 / $101.37 / $172.24	Facility		$21.74	$101.37	$172.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $49.21 / $49.21	Professional		$13.50	$49.21	$49.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.59 / $40.59 / $40.59	Facility		$40.59	$40.59	$40.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $16.93 / $21.17	Professional		$10.71	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $12.81 / $12.81	Facility		$12.81	$12.81	$12.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $14.69 / $58.76	Professional		$14.69	$14.69	$58.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $56.56 / $94.75	Facility		$51.42	$56.56	$94.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $33.04 / $33.04	Professional		$13.22	$33.04	$33.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $12.81 / $51.42	Facility		$12.81	$12.81	$51.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $18.98 / $21.22	Professional		$14.69	$18.98	$21.22
United Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $29.38 / $44.32	Professional		$9.23	$29.38	$44.32