Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $87.86 / $149.28	Facility		$18.84	$87.86	$149.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $42.65 / $48.81	Professional		$12.22	$42.65	$48.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $35.15 / $35.15	Facility		$35.15	$35.15	$35.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.46 / $18.07	Professional		$8.71	$14.46	$18.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $6.75 / $6.75	Facility		$6.75	$6.75	$6.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $12.73 / $50.92	Professional		$12.73	$12.73	$50.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $49.01 / $77.36	Facility		$44.56	$49.01	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $28.64 / $28.64	Professional		$11.46	$28.64	$28.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $6.75 / $44.56	Facility		$6.75	$6.75	$44.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $12.73 / $17.32	Professional		$11.99	$12.73	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $25.46 / $38.40	Professional		$7.54	$25.46	$38.40