Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $77.98 / $132.51	Facility		$16.72	$77.98	$132.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $37.86 / $72.66	Professional		$37.86	$37.86	$72.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $31.24 / $31.24	Facility		$31.24	$31.24	$31.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $13.22 / $16.52	Professional		$8.35	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $12.23 / $12.23	Facility		$12.23	$12.23	$12.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $11.30 / $45.20	Professional		$11.30	$11.30	$45.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $43.51 / $72.84	Facility		$39.54	$43.51	$72.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $25.43 / $25.43	Professional		$10.17	$25.43	$25.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $12.23 / $39.54	Facility		$12.23	$12.23	$39.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $11.30 / $14.60	Professional		$11.30	$11.30	$14.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $22.60 / $34.09	Professional		$7.10	$22.60	$34.09