Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $100.00 / $169.82	Facility		$20.42	$100.00	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $45.71	Professional		$10.96	$12.88	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.22 / $19.95	Professional		$10.23	$16.22	$19.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $13.80	Facility		$12.59	$12.59	$13.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $54.95	Professional		$13.80	$13.80	$54.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $53.70 / $89.13	Facility		$48.98	$53.70	$89.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $30.90	Professional		$25.70	$30.90	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $17.78	Professional		$10.23	$13.80	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $27.54 / $41.69	Professional		$8.71	$27.54	$41.69