Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $98.82 / $167.90	Facility		$21.19	$98.82	$167.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $47.97 / $54.90	Professional		$13.16	$47.97	$54.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Facility		$39.57	$39.57	$39.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $16.52 / $20.65	Professional		$10.53	$16.52	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $12.98 / $12.98	Facility		$12.98	$12.98	$12.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $14.32 / $57.28	Professional		$14.32	$14.32	$57.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $55.13 / $92.34	Facility		$50.12	$55.13	$92.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $32.22 / $32.22	Professional		$12.89	$32.22	$32.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $12.98 / $50.12	Facility		$12.98	$12.98	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $18.51 / $20.69	Professional		$14.32	$18.51	$20.69
United Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $28.64 / $43.21	Professional		$9.00	$28.64	$43.21