Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $27.63 / $48.78	Facility		$27.63	$27.63	$48.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $20.10 / $93.68	Professional		$8.31	$20.10	$93.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $24.14 / $24.14	Facility		$24.14	$24.14	$24.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $32.61 / $54.81	Professional		$32.61	$32.61	$54.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $74.27 / $131.15	Facility		$11.56	$74.27	$131.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $56.70 / $115.01	Professional		$21.83	$56.70	$115.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $61.25 / $98.82	Professional		$36.45	$61.25	$98.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $74.27 / $131.15	Facility		$11.56	$74.27	$131.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $60.75 / $109.27	Professional		$23.28	$60.75	$109.27
United Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $65.76 / $98.85	Professional		$42.98	$65.76	$98.85