Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $218.78 / $245.47	Facility		$42.66	$218.78	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $91.20	Professional		$10.00	$12.02	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.45 / $30.90	Professional		$7.59	$14.45	$30.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $42.66 / $218.78	Facility		$9.12	$42.66	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $40.74 / $91.20	Professional		$12.02	$40.74	$91.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $46.77 / $50.12	Facility		$43.65	$46.77	$50.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $28.18	Professional		$20.42	$28.18	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $10.00	Facility		$9.12	$9.12	$10.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.22 / $30.90	Professional		$7.59	$11.22	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $25.12 / $38.02	Professional		$6.76	$25.12	$38.02