Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $162.18 / $331.13	Facility		$48.98	$162.18	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $47.86	Professional		$10.96	$14.13	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.98 / $21.38	Professional		$10.72	$16.98	$21.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.45 / $162.18	Facility		$12.59	$14.45	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $58.88	Professional		$14.45	$14.45	$58.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $56.23 / $93.33	Facility		$51.29	$56.23	$93.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $72.44	Professional		$26.92	$33.11	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $19.05	Professional		$10.72	$14.45	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $29.51 / $43.65	Professional		$9.12	$29.51	$43.65