Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $83.16 / $141.30	Facility		$17.82	$83.16	$141.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $40.36 / $40.36	Professional		$11.08	$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 $10.50 / $10.50 / $10.50	Facility		$10.50	$10.50	$10.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $48.20	Professional		$12.05	$12.05	$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 / $18.07 / $48.20	Professional		$10.85	$18.07	$48.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $23.50	Facility		$10.50	$10.50	$23.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $12.05 / $33.14	Professional		$11.45	$12.05	$33.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $24.10 / $36.36	Professional		$5.42	$24.10	$36.36