Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $101.99 / $291.06	Facility		$33.61	$101.99	$291.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $20.92 / $53.30	Professional		$18.57	$20.92	$53.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $43.95 / $43.95	Facility		$43.95	$43.95	$43.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $18.17 / $22.72	Professional		$11.62	$18.17	$22.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $14.42 / $14.42	Facility		$14.42	$14.42	$14.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $15.91 / $63.64	Professional		$15.91	$15.91	$63.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $61.25 / $102.62	Facility		$55.69	$61.25	$102.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $35.79 / $143.75	Professional		$14.32	$35.79	$143.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $14.42 / $55.69	Facility		$14.42	$14.42	$55.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $20.57 / $22.98	Professional		$15.90	$20.57	$22.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $31.82 / $48.00	Professional		$10.00	$31.82	$48.00