Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $87.10 / $147.91	Facility		$17.78	$87.10	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $39.81	Professional		$8.91	$10.96	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $16.98	Professional		$8.91	$13.49	$16.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $12.02	Facility		$10.96	$10.96	$12.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $48.98	Professional		$12.02	$12.02	$48.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $46.77 / $77.62	Facility		$42.66	$46.77	$77.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $27.54	Professional		$22.39	$27.54	$27.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $15.85	Professional		$8.91	$12.02	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $23.99 / $36.31	Professional		$7.59	$23.99	$36.31