Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $83.57 / $142.00	Facility		$17.92	$83.57	$142.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $40.57 / $40.57	Professional		$15.92	$40.57	$40.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Facility		$33.45	$33.45	$33.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $13.63 / $17.04	Professional		$8.89	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $10.56 / $10.56	Facility		$10.56	$10.56	$10.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $12.11 / $48.44	Professional		$12.11	$12.11	$48.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $46.62 / $78.12	Facility		$42.39	$46.62	$78.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $27.25 / $27.25	Professional		$10.90	$27.25	$27.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $10.56 / $42.39	Facility		$10.56	$10.56	$42.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $15.66 / $17.48	Professional		$12.11	$15.66	$17.48
United Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $24.22 / $36.54	Professional		$7.61	$24.22	$36.54