Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $82.81 / $138.69	Facility		$49.85	$82.81	$138.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $40.20 / $46.01	Professional		$11.06	$40.20	$46.01
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 $10.89 / $10.89 / $10.89	Facility		$10.89	$10.89	$10.89
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 / $27.00	Professional		$10.80	$27.00	$27.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $10.89 / $42.00	Facility		$10.89	$10.89	$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