Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $78.52 / $314.47	Facility		$43.30	$78.52	$314.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $41.51 / $64.69	Professional		$21.48	$41.51	$64.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.79 / $50.79 / $50.79	Facility		$50.79	$50.79	$50.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $21.06 / $26.33	Professional		$13.43	$21.06	$26.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $16.03	Facility		$16.03	$16.03	$16.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $73.56	Professional		$18.39	$18.39	$73.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $70.80 / $118.64	Facility		$64.37	$70.80	$118.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $41.38 / $155.00	Professional		$16.55	$41.38	$155.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $64.37	Facility		$16.03	$16.03	$64.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $23.78 / $26.58	Professional		$18.39	$23.78	$26.58
United Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $36.78 / $55.49	Professional		$11.57	$36.78	$55.49