Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $87.36 / $148.44	Facility		$18.73	$87.36	$148.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $42.41 / $81.40	Professional		$42.41	$42.41	$81.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $34.97 / $34.97	Facility		$34.97	$34.97	$34.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $14.46 / $18.07	Professional		$8.17	$14.46	$18.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $13.70 / $13.70	Facility		$13.70	$13.70	$13.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $12.66 / $50.64	Professional		$12.66	$12.66	$50.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.31 / $48.74 / $71.23	Facility		$44.31	$48.74	$71.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $28.49 / $28.49	Professional		$11.39	$28.49	$28.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $13.70 / $44.31	Facility		$13.70	$13.70	$44.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $14.28 / $15.95	Professional		$11.39	$14.28	$15.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $25.32 / $38.20	Professional		$6.93	$25.32	$38.20