Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $77.64 / $131.91	Facility		$16.64	$77.64	$131.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $37.69 / $72.34	Professional		$37.69	$37.69	$72.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.07 / $31.07 / $31.07	Facility		$31.07	$31.07	$31.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $13.22 / $16.52	Professional		$3.99	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $8.19 / $8.19	Facility		$8.19	$8.19	$8.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $45.00	Professional		$11.25	$11.25	$45.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $39.38 / $45.00	Facility		$29.96	$39.38	$45.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $25.31 / $25.31	Professional		$10.13	$25.31	$25.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $8.19 / $31.07	Facility		$8.19	$8.19	$31.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $11.25	Professional		$7.11	$7.11	$11.25
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $22.50 / $33.94	Professional		$3.46	$22.50	$33.94