Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $103.66 / $176.12	Facility		$22.23	$103.66	$176.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $50.32 / $96.58	Professional		$50.32	$50.32	$96.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $41.48 / $41.48	Facility		$41.48	$41.48	$41.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $16.93 / $21.17	Professional		$11.07	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Facility		$16.25	$16.25	$16.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $15.02 / $60.08	Professional		$15.02	$15.02	$60.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $57.83 / $96.93	Facility		$52.57	$57.83	$96.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $33.79 / $33.79	Professional		$13.52	$33.79	$33.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $52.57	Facility		$16.25	$16.25	$52.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $15.02 / $17.32	Professional		$15.02	$15.02	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $30.04 / $45.32	Professional		$9.44	$30.04	$45.32