Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $79.43 / $125.89	Facility		$23.99	$79.43	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $32.36	Professional		$7.94	$10.00	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.38 / $39.81	Professional		$20.89	$21.38	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.18 / $114.82	Facility		$10.72	$13.18	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $42.66	Professional		$10.72	$12.59	$42.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $41.69 / $69.18	Facility		$38.02	$41.69	$69.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $52.48	Professional		$19.95	$23.99	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $39.81	Professional		$10.72	$10.72	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $21.38 / $32.36	Professional		$6.76	$21.38	$32.36