Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $100.76 / $171.19	Facility		$21.61	$100.76	$171.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $48.91 / $55.98	Professional		$13.43	$48.91	$55.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $40.33 / $40.33	Facility		$40.33	$40.33	$40.33
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 $12.72 / $12.72 / $12.72	Facility		$12.72	$12.72	$12.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $14.60 / $58.40	Professional		$14.60	$14.60	$58.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $56.21 / $94.18	Facility		$51.10	$56.21	$94.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $32.85 / $32.85	Professional		$13.14	$32.85	$32.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $12.72 / $51.10	Facility		$12.72	$12.72	$51.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $18.88 / $21.09	Professional		$14.60	$18.88	$21.09
United Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $29.20 / $44.05	Professional		$9.18	$29.20	$44.05