Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.06 / $123.48 / $171.90	Facility		$50.06	$123.48	$171.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $40.36 / $42.38	Professional		$11.08	$40.36	$42.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.28 / $33.28 / $33.28	Facility		$33.28	$33.28	$33.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $13.63 / $17.04	Professional		$8.89	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $10.92 / $10.92	Facility		$10.92	$10.92	$10.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $48.20	Professional		$12.05	$12.05	$48.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $27.11 / $27.11	Professional		$10.85	$27.11	$27.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $10.92 / $10.92	Facility		$10.92	$10.92	$10.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $15.58	Professional		$12.05	$12.05	$15.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $24.10 / $36.36	Professional		$7.58	$24.10	$36.36