Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $102.88 / $167.58	Facility		$44.80	$102.88	$167.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $45.93 / $45.93	Professional		$12.60	$45.93	$45.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $37.86 / $37.86	Facility		$37.86	$37.86	$37.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $15.69 / $19.62	Professional		$9.98	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $12.44 / $12.44	Facility		$12.44	$12.44	$12.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $13.71 / $54.84	Professional		$13.71	$13.71	$54.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.99 / $52.78 / $88.45	Facility		$47.99	$52.78	$88.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $30.85 / $160.00	Professional		$12.34	$30.85	$160.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $12.44 / $47.99	Facility		$12.44	$12.44	$47.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $13.71 / $19.82	Professional		$13.71	$13.71	$19.82
United Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $27.42 / $41.37	Professional		$8.63	$27.42	$41.37