Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $102.84 / $172.22	Facility		$22.05	$102.84	$172.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $49.92 / $57.13	Professional		$13.66	$49.92	$57.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $41.18 / $41.18	Facility		$41.18	$41.18	$41.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $16.93 / $21.17	Professional		$10.89	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $14.90 / $59.60	Professional		$14.90	$14.90	$59.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.15 / $57.37 / $96.08	Facility		$52.15	$57.37	$96.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $33.53 / $33.53	Professional		$13.41	$33.53	$33.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $52.15	Facility		$13.49	$13.49	$52.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $19.26 / $21.52	Professional		$14.90	$19.26	$21.52
United Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $29.80 / $44.96	Professional		$9.36	$29.80	$44.96