Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $97.94 / $144.06	Facility		$69.22	$97.94	$144.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $18.89 / $58.14	Professional		$10.84	$18.89	$58.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $45.65 / $45.65	Facility		$45.65	$45.65	$45.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $19.00 / $23.75	Professional		$8.71	$19.00	$23.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $12.04 / $12.04	Facility		$12.04	$12.04	$12.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $16.53 / $66.12	Professional		$16.53	$16.53	$66.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $37.19 / $93.75	Professional		$14.88	$37.19	$93.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $12.04 / $12.04	Facility		$12.04	$12.04	$12.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $15.50 / $17.32	Professional		$14.88	$15.50	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $33.06 / $49.87	Professional		$7.54	$33.06	$49.87