Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $102.33 / $177.83	Facility		$21.38	$102.33	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $47.86	Professional		$10.96	$14.13	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.98 / $21.38	Professional		$8.71	$16.98	$21.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $14.45	Facility		$10.47	$10.47	$14.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $57.54	Professional		$14.45	$14.45	$57.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $54.95 / $77.62	Facility		$50.12	$54.95	$77.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $32.36	Professional		$22.39	$32.36	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.88 / $15.49	Professional		$8.71	$12.88	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $28.84 / $43.65	Professional		$7.59	$28.84	$43.65