Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $91.65 / $155.72	Facility		$19.64	$91.65	$155.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $44.49 / $85.39	Professional		$44.49	$44.49	$85.39
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 $9.26 / $15.28 / $19.10	Professional		$9.26	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $14.37	Facility		$14.37	$14.37	$14.37
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 / $27.32 / $65.56	Professional		$11.95	$27.32	$65.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $46.48	Facility		$14.37	$14.37	$46.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $17.17 / $36.52	Professional		$13.28	$17.17	$36.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $26.56 / $40.07	Professional		$8.13	$26.56	$40.07