Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.06 / $83.16 / $141.30	Facility		$50.06	$83.16	$141.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $40.36 / $40.36	Professional		$12.43	$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 $13.40 / $13.40 / $13.40	Facility		$13.40	$13.40	$13.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $36.15 / $48.20	Professional		$12.05	$36.15	$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 / $27.11 / $73.59	Professional		$10.85	$27.11	$73.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $13.40 / $33.28	Facility		$13.40	$13.40	$33.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $18.39 / $50.60	Professional		$17.48	$18.39	$50.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $36.79 / $55.52	Professional		$8.27	$36.79	$55.52