Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $84.81 / $144.10	Facility		$18.19	$84.81	$144.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $41.17 / $47.12	Professional		$10.26	$41.17	$47.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $33.96 / $33.96	Facility		$33.96	$33.96	$33.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $14.04 / $17.55	Professional		$8.17	$14.04	$17.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $13.30 / $13.30	Facility		$13.30	$13.30	$13.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $12.29 / $49.16	Professional		$12.29	$12.29	$49.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $47.32 / $72.05	Facility		$43.02	$47.32	$72.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $27.65 / $27.65	Professional		$11.06	$27.65	$27.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $13.30 / $43.02	Facility		$13.30	$13.30	$43.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $14.44 / $16.14	Professional		$11.17	$14.44	$16.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $24.58 / $37.08	Professional		$7.02	$24.58	$37.08