Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $89.13 / $141.25	Facility		$50.12	$89.13	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $38.02	Professional		$10.00	$10.96	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.60	Professional		$13.18	$13.18	$16.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $11.48 / $52.48	Facility		$6.03	$11.48	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.89 / $38.02	Professional		$11.48	$20.89	$38.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $44.67 / $45.71	Facility		$42.66	$44.67	$45.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.70 / $25.70	Professional		$17.38	$25.70	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $8.71 / $20.89	Facility		$6.03	$8.71	$20.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $11.48	Professional		$10.96	$10.96	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $22.91 / $34.67	Professional		$5.25	$22.91	$34.67