Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $92.53 / $156.49	Facility		$20.04	$92.53	$156.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $45.36 / $51.91	Professional		$12.48	$45.36	$51.91
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 $9.44 / $15.69 / $19.62	Professional		$9.44	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Facility		$12.28	$12.28	$12.28
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 / $27.87 / $66.88	Professional		$12.19	$27.87	$66.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $47.39	Facility		$12.28	$12.28	$47.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $17.52 / $37.24	Professional		$13.54	$17.52	$37.24
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $27.08 / $40.85	Professional		$8.30	$27.08	$40.85