Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $124.04 / $181.06	Facility		$43.21	$124.04	$181.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $43.22 / $54.02	Professional		$11.83	$43.22	$54.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $35.65 / $35.65	Facility		$35.65	$35.65	$35.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.87 / $18.59	Professional		$9.44	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Facility		$11.25	$11.25	$11.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $12.90 / $51.60	Professional		$12.90	$12.90	$51.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $49.67 / $83.19	Facility		$45.15	$49.67	$83.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $29.03 / $151.25	Professional		$11.61	$29.03	$151.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $11.25 / $45.15	Facility		$11.25	$11.25	$45.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $16.67 / $18.63	Professional		$12.90	$16.67	$18.63
United Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $25.80 / $38.92	Professional		$8.10	$25.80	$38.92