Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $99.79 / $167.12	Facility		$21.40	$99.79	$167.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $48.44 / $55.44	Professional		$7.80	$48.44	$55.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $39.95 / $39.95	Facility		$39.95	$39.95	$39.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $16.93 / $21.17	Professional		$6.17	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $10.53 / $10.53	Facility		$10.53	$10.53	$10.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $57.84	Professional		$14.46	$14.46	$57.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $53.50 / $57.84	Facility		$46.28	$53.50	$57.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $32.54 / $32.54	Professional		$13.01	$32.54	$32.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $10.53 / $46.28	Facility		$10.53	$10.53	$46.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $14.46	Professional		$10.98	$10.98	$14.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $28.92 / $43.63	Professional		$5.34	$28.92	$43.63