Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $97.58 / $163.43	Facility		$49.00	$97.58	$163.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $47.37 / $54.21	Professional		$7.87	$47.37	$54.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $39.06 / $39.06	Facility		$39.06	$39.06	$39.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $16.52 / $20.65	Professional		$6.35	$16.52	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Facility		$10.30	$10.30	$10.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $14.14 / $56.56	Professional		$14.14	$14.14	$56.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $52.32 / $56.56	Facility		$46.76	$52.32	$56.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $31.82 / $31.82	Professional		$12.73	$31.82	$31.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $46.76	Facility		$10.30	$10.30	$46.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $12.39 / $14.14	Professional		$11.10	$12.39	$14.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $28.28 / $42.66	Professional		$5.39	$28.28	$42.66