Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $83.43 / $141.75	Facility		$17.89	$83.43	$141.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $40.50 / $77.73	Professional		$40.50	$40.50	$77.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $33.40 / $33.40	Facility		$33.40	$33.40	$33.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $15.97	Professional		$7.44	$7.44	$15.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $57.92 / $57.92	Facility		$57.92	$57.92	$57.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $38.93	Professional		$12.09	$12.09	$38.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $46.55 / $65.13	Facility		$42.32	$46.55	$65.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $27.20 / $27.20	Professional		$10.88	$27.20	$27.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $46.55 / $65.13	Facility		$33.40	$46.55	$65.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $10.88 / $15.97	Professional		$7.44	$10.88	$15.97
United Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $36.27 / $36.27	Professional		$19.66	$36.27	$36.27