Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.82 / $97.09 / $164.96	Facility		$20.82	$97.09	$164.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $47.13 / $90.47	Professional		$47.13	$47.13	$90.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.89 / $38.89 / $38.89	Facility		$38.89	$38.89	$38.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $16.11 / $20.13	Professional		$4.36	$16.11	$20.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $10.25 / $10.25	Facility		$10.25	$10.25	$10.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $14.07 / $56.28	Professional		$14.07	$14.07	$56.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $49.25 / $56.28	Facility		$32.64	$49.25	$56.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $31.66 / $31.66	Professional		$12.66	$31.66	$31.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $10.25 / $38.63	Facility		$10.25	$10.25	$38.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $8.05 / $14.07	Professional		$7.20	$8.05	$14.07
United Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $28.14 / $42.45	Professional		$3.77	$28.14	$42.45