Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $119.13 / $203.40	Facility		$41.50	$119.13	$203.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $16.30 / $41.51	Professional		$14.47	$16.30	$41.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $34.21 / $34.21	Facility		$34.21	$34.21	$34.21
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 $11.24 / $11.24 / $11.24	Facility		$11.24	$11.24	$11.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $49.56	Professional		$12.39	$12.39	$49.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.37 / $47.70 / $79.92	Facility		$43.37	$47.70	$79.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $27.88 / $130.00	Professional		$11.15	$27.88	$130.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $11.24 / $43.37	Facility		$11.24	$11.24	$43.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.39 / $16.02	Professional		$12.38	$12.39	$16.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $24.78 / $37.38	Professional		$7.79	$24.78	$37.38