Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $102.14 / $173.53	Facility		$21.90	$102.14	$173.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $49.58 / $56.74	Professional		$13.61	$49.58	$56.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.89 / $40.89 / $40.89	Facility		$40.89	$40.89	$40.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $16.93 / $21.17	Professional		$10.89	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $13.42 / $13.42	Facility		$13.42	$13.42	$13.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $14.80 / $59.20	Professional		$14.80	$14.80	$59.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $56.98 / $95.46	Facility		$51.80	$56.98	$95.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $33.29 / $33.29	Professional		$13.32	$33.29	$33.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $13.42 / $51.80	Facility		$13.42	$13.42	$51.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $14.80 / $21.38	Professional		$14.80	$14.80	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $29.60 / $44.65	Professional		$9.31	$29.60	$44.65