Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $81.91 / $139.16	Facility		$17.57	$81.91	$139.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $39.76 / $76.31	Professional		$39.76	$39.76	$76.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $32.81 / $32.81	Facility		$32.81	$32.81	$32.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.63 / $17.04	Professional		$8.71	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $12.84 / $12.84	Facility		$12.84	$12.84	$12.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $11.87 / $47.48	Professional		$11.87	$11.87	$47.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $45.70 / $76.55	Facility		$41.54	$45.70	$76.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $26.71 / $26.71	Professional		$10.68	$26.71	$26.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $12.84 / $41.54	Facility		$12.84	$12.84	$41.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.34 / $17.14	Professional		$11.87	$15.34	$17.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $23.74 / $35.81	Professional		$7.46	$23.74	$35.81