Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $84.54 / $143.63	Facility		$18.13	$84.54	$143.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $41.04 / $46.97	Professional		$11.24	$41.04	$46.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $33.83 / $33.83	Facility		$33.83	$33.83	$33.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $14.04 / $17.55	Professional		$8.89	$14.04	$17.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $11.10 / $11.10	Facility		$11.10	$11.10	$11.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $49.00	Professional		$12.25	$12.25	$49.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $47.16 / $78.97	Facility		$42.88	$47.16	$78.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $27.56 / $27.56	Professional		$11.03	$27.56	$27.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $11.10 / $42.88	Facility		$11.10	$11.10	$42.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $17.70	Professional		$12.25	$12.25	$17.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $24.50 / $36.96	Professional		$7.70	$24.50	$36.96