Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $138.69 / $352.00	Facility		$50.25	$138.69	$352.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $15.79 / $40.20	Professional		$14.01	$15.79	$40.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.63 / $17.04	Professional		$8.71	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $10.48 / $10.48	Facility		$10.48	$10.48	$10.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $48.00	Professional		$12.00	$12.00	$48.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $46.20 / $77.40	Facility		$42.00	$46.20	$77.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $27.00 / $202.50	Professional		$10.80	$27.00	$202.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $10.48 / $42.00	Facility		$10.48	$10.48	$42.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.51 / $17.35	Professional		$12.00	$15.51	$17.35
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $24.00 / $36.21	Professional		$7.55	$24.00	$36.21