Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $95.06 / $382.80	Facility		$38.00	$95.06	$382.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $12.22 / $46.60	Professional		$10.84	$12.22	$46.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.42 / $38.42 / $38.42	Facility		$38.42	$38.42	$38.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.11 / $20.13	Professional		$8.71	$16.11	$20.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $15.06 / $15.06	Facility		$15.06	$15.06	$15.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $41.73 / $55.64	Professional		$12.52	$41.73	$55.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $65.31 / $77.36	Facility		$48.69	$65.31	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $31.30 / $132.50	Professional		$12.52	$31.30	$132.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $15.06 / $15.06	Facility		$15.06	$15.06	$15.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $13.91 / $17.32	Professional		$12.52	$13.91	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $27.82 / $41.97	Professional		$7.54	$27.82	$41.97