Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.15 / $99.93 / $169.79	Facility		$60.15	$99.93	$169.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $48.51 / $55.52	Professional		$9.99	$48.51	$55.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.99 / $39.99 / $39.99	Facility		$39.99	$39.99	$39.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $16.93 / $21.17	Professional		$7.99	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $10.55 / $10.55	Facility		$10.55	$10.55	$10.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $14.48 / $46.63	Professional		$14.48	$14.48	$46.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $55.75 / $70.01	Facility		$50.68	$55.75	$70.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $32.58 / $32.58	Professional		$13.03	$32.58	$32.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $10.55 / $50.68	Facility		$10.55	$10.55	$50.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $14.03 / $15.68	Professional		$13.03	$14.03	$15.68
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $28.96 / $43.69	Professional		$6.83	$28.96	$43.69