Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $95.50 / $162.18	Facility		$19.95	$95.50	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $43.65	Professional		$10.00	$12.02	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $15.14 / $19.05	Professional		$3.80	$15.14	$19.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $13.49	Facility		$9.77	$9.77	$13.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $53.70	Professional		$13.49	$13.49	$53.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $48.98 / $53.70	Facility		$28.18	$48.98	$53.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $30.20 / $53.70	Professional		$13.49	$30.20	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $12.02 / $13.49	Professional		$3.80	$12.02	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $26.92 / $39.81	Professional		$3.24	$26.92	$39.81