Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $84.05 / $142.80	Facility		$18.03	$84.05	$142.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $78.31	Professional		$40.79	$40.79	$78.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $33.65 / $33.65	Facility		$33.65	$33.65	$33.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.04 / $17.55	Professional		$8.71	$14.04	$17.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $12.18 / $48.72	Professional		$12.18	$12.18	$48.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.63 / $46.89 / $77.36	Facility		$42.63	$46.89	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $27.41 / $27.41	Professional		$10.96	$27.41	$27.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $42.63	Facility		$13.18	$13.18	$42.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $15.50 / $17.32	Professional		$11.99	$15.50	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $24.36 / $36.75	Professional		$7.54	$24.36	$36.75