Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $92.06 / $156.41	Facility		$19.73	$92.06	$156.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $44.69 / $85.78	Professional		$44.69	$44.69	$85.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $36.85 / $36.85	Facility		$36.85	$36.85	$36.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $15.28 / $19.10	Professional		$3.81	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $9.72 / $9.72	Facility		$9.72	$9.72	$9.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $53.36	Professional		$13.34	$13.34	$53.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $46.69 / $53.36	Facility		$28.20	$46.69	$53.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $30.02 / $80.54	Professional		$12.01	$30.02	$80.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $9.72 / $33.36	Facility		$9.72	$9.72	$33.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $7.48 / $13.34	Professional		$6.69	$7.48	$13.34
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $26.68 / $40.25	Professional		$3.25	$26.68	$40.25