Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $184.24 / $353.78	Facility		$56.70	$184.24	$353.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $45.36 / $45.36	Professional		$12.48	$45.36	$45.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $37.40 / $37.40	Facility		$37.40	$37.40	$37.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $15.69 / $19.62	Professional		$9.98	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $11.81 / $11.81	Facility		$11.81	$11.81	$11.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $54.16	Professional		$13.54	$13.54	$54.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $52.13 / $87.41	Facility		$47.39	$52.13	$87.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $30.47 / $173.25	Professional		$12.19	$30.47	$173.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $11.81 / $47.39	Facility		$11.81	$11.81	$47.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.55 / $17.52	Professional		$13.54	$13.55	$17.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $27.08 / $40.85	Professional		$8.52	$27.08	$40.85