Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $97.84 / $167.01	Facility		$21.39	$97.84	$167.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $48.41 / $55.40	Professional		$11.84	$48.41	$55.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $39.90 / $39.90	Facility		$39.90	$39.90	$39.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $16.93 / $21.17	Professional		$9.44	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $11.67 / $11.67	Facility		$11.67	$11.67	$11.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $57.80	Professional		$14.45	$14.45	$57.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.57 / $55.63 / $83.04	Facility		$50.57	$55.63	$83.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $32.51 / $121.25	Professional		$13.01	$32.51	$121.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $11.67 / $50.57	Facility		$11.67	$11.67	$50.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $14.45 / $16.64	Professional		$13.01	$14.45	$16.64
United Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $28.90 / $43.60	Professional		$8.10	$28.90	$43.60