Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $95.50 / $177.83	Facility		$50.12	$95.50	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $43.65	Professional		$10.96	$13.18	$43.65
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 $10.72 / $16.98 / $21.38	Professional		$10.72	$16.98	$21.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.79 / $173.78	Facility		$12.88	$14.79	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $61.66	Professional		$14.79	$19.50	$61.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $56.23 / $95.50	Facility		$51.29	$56.23	$95.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $72.44	Professional		$26.92	$33.11	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $19.05	Professional		$10.72	$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