Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $83.64 / $142.10	Facility		$17.94	$83.64	$142.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $40.60 / $46.47	Professional		$11.16	$40.60	$46.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $33.49 / $33.49	Facility		$33.49	$33.49	$33.49
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 $11.00 / $11.00 / $11.00	Facility		$11.00	$11.00	$11.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $48.48	Professional		$12.12	$12.12	$48.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $46.66 / $78.20	Facility		$42.42	$46.66	$78.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $27.27 / $27.27	Professional		$10.91	$27.27	$27.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $11.00 / $42.42	Facility		$11.00	$11.00	$42.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $15.68 / $17.52	Professional		$12.12	$15.68	$17.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $24.24 / $36.57	Professional		$7.62	$24.24	$36.57