Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $97.73 / $166.04	Facility		$20.96	$97.73	$166.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $47.44 / $54.29	Professional		$9.58	$47.44	$54.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $39.10 / $39.10	Facility		$39.10	$39.10	$39.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $16.52 / $20.65	Professional		$7.62	$16.52	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $10.31 / $10.31	Facility		$10.31	$10.31	$10.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $56.64	Professional		$14.16	$14.16	$56.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $54.52 / $67.12	Facility		$49.56	$54.52	$67.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $31.86 / $31.86	Professional		$12.74	$31.86	$31.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $10.31 / $49.56	Facility		$10.31	$10.31	$49.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $13.45 / $15.02	Professional		$12.74	$13.45	$15.02
United Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $28.32 / $28.32	Professional		$6.54	$28.32	$28.32