Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.46 / $96.57 / $159.00	Facility		$53.46	$96.57	$159.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $43.11 / $49.34	Professional		$11.83	$43.11	$49.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.57 / $35.57 / $35.57	Facility		$35.57	$35.57	$35.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.87 / $18.59	Professional		$9.44	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $13.92 / $13.92	Facility		$13.92	$13.92	$13.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $51.48	Professional		$12.87	$12.87	$51.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $49.55 / $83.04	Facility		$45.04	$49.55	$83.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $28.96 / $28.96	Professional		$11.58	$28.96	$28.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $13.92 / $45.04	Facility		$13.92	$13.92	$45.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $16.64 / $18.59	Professional		$12.87	$16.64	$18.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $25.74 / $38.83	Professional		$8.10	$25.74	$38.83