Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $158.49 / $173.78	Facility		$64.57	$158.49	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $48.98	Professional		$12.02	$14.13	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $21.38	Professional		$10.96	$16.98	$21.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $14.79	Facility		$13.49	$13.49	$14.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $60.26	Professional		$14.79	$14.79	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $57.54 / $95.50	Facility		$52.48	$57.54	$95.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $33.88	Professional		$27.54	$33.88	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $19.05	Professional		$10.96	$14.79	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $29.51 / $44.67	Professional		$9.33	$29.51	$44.67