Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $97.85 / $166.25	Facility		$20.99	$97.85	$166.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $47.50 / $54.37	Professional		$12.72	$47.50	$54.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.19 / $39.19 / $39.19	Facility		$39.19	$39.19	$39.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $16.52 / $20.65	Professional		$10.16	$16.52	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $15.35 / $15.35	Facility		$15.35	$15.35	$15.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $56.72	Professional		$14.18	$14.18	$56.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $54.59 / $89.44	Facility		$49.63	$54.59	$89.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $31.91 / $31.91	Professional		$12.76	$31.91	$31.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $15.35 / $49.63	Facility		$15.35	$15.35	$49.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $14.18 / $17.93	Professional		$13.87	$14.18	$17.93
United Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $28.36 / $42.78	Professional		$8.72	$28.36	$42.78