Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.43 / $218.78	Facility		$50.12	$79.43	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $43.65	Professional		$11.75	$14.13	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $21.88	Professional		$10.96	$17.38	$21.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.14 / $204.17	Facility		$13.18	$15.14	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $63.10	Professional		$15.14	$17.78	$63.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $57.54 / $97.72	Facility		$52.48	$57.54	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $74.13	Professional		$28.18	$33.88	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $19.50	Professional		$10.96	$15.14	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $30.20 / $45.71	Professional		$9.55	$30.20	$45.71