Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $100.49 / $157.01	Facility		$24.01	$100.49	$157.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $44.86 / $51.34	Professional		$12.30	$44.86	$51.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $36.97 / $36.97	Facility		$36.97	$36.97	$36.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $15.28 / $19.10	Professional		$9.80	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Facility		$12.14	$12.14	$12.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $53.56	Professional		$13.39	$13.39	$53.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $51.55 / $86.41	Facility		$46.87	$51.55	$86.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $30.13 / $30.13	Professional		$12.05	$30.13	$30.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $46.87	Facility		$12.14	$12.14	$46.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $19.36	Professional		$13.39	$13.39	$19.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $26.78 / $40.40	Professional		$8.42	$26.78	$40.40