Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $99.00 / $143.30	Facility		$49.28	$99.00	$143.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $39.43 / $39.43	Professional		$10.82	$39.43	$39.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.51 / $32.51 / $32.51	Facility		$32.51	$32.51	$32.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.22 / $16.52	Professional		$8.71	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $10.26 / $10.26	Facility		$10.26	$10.26	$10.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $11.77 / $47.08	Professional		$11.77	$11.77	$47.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $45.31 / $75.98	Facility		$41.20	$45.31	$75.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $26.48 / $26.48	Professional		$10.59	$26.48	$26.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $10.26 / $41.20	Facility		$10.26	$10.26	$41.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $11.77 / $17.00	Professional		$11.77	$11.77	$17.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $23.54 / $35.51	Professional		$7.40	$23.54	$35.51