Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $84.95 / $143.66	Facility		$18.39	$84.95	$143.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $41.64 / $47.66	Professional		$10.44	$41.64	$47.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.34 / $34.34 / $34.34	Facility		$34.34	$34.34	$34.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $14.04 / $17.55	Professional		$8.35	$14.04	$17.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $10.29	Facility		$10.29	$10.29	$10.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $49.72	Professional		$12.43	$12.43	$49.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $47.86 / $73.23	Facility		$43.50	$47.86	$73.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $27.97 / $27.97	Professional		$11.19	$27.97	$27.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $43.50	Facility		$10.29	$10.29	$43.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $14.68 / $16.39	Professional		$11.36	$14.68	$16.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $24.86 / $37.50	Professional		$7.14	$24.86	$37.50