Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.84 / $143.16 / $277.80	Facility		$57.84	$143.16	$277.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $44.49 / $44.49	Professional		$12.23	$44.49	$44.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.68 / $36.68 / $36.68	Facility		$36.68	$36.68	$36.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $15.28 / $19.10	Professional		$9.80	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $12.04 / $12.04	Facility		$12.04	$12.04	$12.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $53.12	Professional		$13.28	$13.28	$53.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.48 / $51.13 / $85.65	Facility		$46.48	$51.13	$85.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $29.88 / $168.75	Professional		$11.95	$29.88	$168.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $12.04 / $46.48	Facility		$12.04	$12.04	$46.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $17.17 / $19.18	Professional		$13.28	$17.17	$19.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $26.56 / $40.07	Professional		$8.35	$26.56	$40.07