Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.90 / $79.58 / $135.21	Facility		$47.90	$79.58	$135.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $38.63 / $38.63	Professional		$6.00	$38.63	$38.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $31.83 / $31.83	Facility		$31.83	$31.83	$31.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $13.22 / $16.52	Professional		$13.22	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $8.76 / $13.84	Facility		$6.00	$8.76	$13.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $46.12	Professional		$11.53	$11.53	$46.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $44.39 / $46.12	Facility		$42.66	$44.39	$46.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $17.29 / $46.12	Professional		$10.38	$17.29	$46.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $8.88 / $22.48	Facility		$6.00	$8.88	$22.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $11.53 / $31.71	Professional		$10.95	$11.53	$31.71
United Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $23.06 / $34.79	Professional		$5.19	$23.06	$34.79