Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $101.58 / $172.59	Facility		$21.79	$101.58	$172.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $49.31 / $56.44	Professional		$13.55	$49.31	$56.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.67 / $40.67 / $40.67	Facility		$40.67	$40.67	$40.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $16.93 / $21.17	Professional		$10.71	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $12.83 / $12.83	Facility		$12.83	$12.83	$12.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $14.72 / $58.88	Professional		$14.72	$14.72	$58.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.52 / $56.67 / $94.94	Facility		$51.52	$56.67	$94.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $33.11 / $33.11	Professional		$13.25	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $12.83 / $51.52	Facility		$12.83	$12.83	$51.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $19.03 / $21.27	Professional		$14.72	$19.03	$21.27
United Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $29.44 / $36.34	Professional		$9.25	$29.44	$36.34