Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $118.19 / $307.54	Facility		$47.04	$118.19	$307.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $41.04 / $46.97	Professional		$11.26	$41.04	$46.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $33.83 / $33.83	Facility		$33.83	$33.83	$33.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $14.04 / $17.55	Professional		$9.08	$14.04	$17.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $11.11 / $11.11	Facility		$11.11	$11.11	$11.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $49.00	Professional		$12.25	$12.25	$49.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $47.16 / $79.06	Facility		$42.88	$47.16	$79.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $27.56 / $27.56	Professional		$11.03	$27.56	$27.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $11.11 / $42.88	Facility		$11.11	$11.11	$42.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.26 / $17.71	Professional		$12.25	$12.26	$17.71
United Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $24.50 / $36.96	Professional		$7.71	$24.50	$36.96