Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $87.43 / $148.54	Facility		$18.75	$87.43	$148.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $42.44 / $81.47	Professional		$42.44	$42.44	$81.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.02 / $35.02 / $35.02	Facility		$35.02	$35.02	$35.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $14.46 / $18.07	Professional		$9.26	$14.46	$18.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $13.71 / $13.71	Facility		$13.71	$13.71	$13.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $12.67 / $50.68	Professional		$12.67	$12.67	$50.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.35 / $48.78 / $81.72	Facility		$44.35	$48.78	$81.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $28.51 / $28.51	Professional		$11.40	$28.51	$28.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $13.71 / $44.35	Facility		$13.71	$13.71	$44.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $16.38 / $18.30	Professional		$12.67	$16.38	$18.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $25.34 / $38.22	Professional		$7.97	$25.34	$38.22