Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $58.80 / $141.30	Facility		$30.28	$58.80	$141.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $40.36 / $40.36	Professional		$10.46	$40.36	$40.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.28 / $33.28 / $33.28	Facility		$33.28	$33.28	$33.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $13.63 / $17.04	Professional		$13.63	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $10.05 / $10.05	Facility		$10.05	$10.05	$10.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $36.15 / $48.20	Professional		$12.05	$36.15	$48.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $46.39 / $48.20	Facility		$44.59	$46.39	$48.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $17.29 / $46.12	Professional		$10.85	$17.29	$46.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $10.05 / $22.48	Facility		$10.05	$10.05	$22.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $11.53 / $31.71	Professional		$10.95	$11.53	$31.71
United Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $23.06 / $34.79	Professional		$5.19	$23.06	$34.79