Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $92.06 / $156.41	Facility		$19.73	$92.06	$156.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $44.69 / $85.78	Professional		$44.69	$44.69	$85.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $36.85 / $36.85	Facility		$36.85	$36.85	$36.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $15.28 / $19.10	Professional		$7.26	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $6.67 / $6.67	Facility		$6.67	$6.67	$6.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $53.36	Professional		$13.34	$13.34	$53.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.69 / $51.36 / $64.42	Facility		$46.69	$51.36	$64.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $30.02 / $30.02	Professional		$12.01	$30.02	$30.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $6.67 / $46.69	Facility		$6.67	$6.67	$46.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $12.91 / $13.34	Professional		$12.01	$12.91	$13.34
United Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $26.68 / $40.25	Professional		$6.28	$26.68	$40.25