Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $90.74 / $154.18	Facility		$19.46	$90.74	$154.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $44.05 / $84.55	Professional		$44.05	$44.05	$84.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.34 / $36.34 / $36.34	Facility		$36.34	$36.34	$36.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $15.28 / $19.10	Professional		$5.63	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $9.58 / $9.58	Facility		$9.58	$9.58	$9.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $52.60	Professional		$13.15	$13.15	$52.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $48.66 / $52.60	Facility		$42.08	$48.66	$52.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $29.59 / $29.59	Professional		$11.84	$29.59	$29.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $9.58 / $42.08	Facility		$9.58	$9.58	$42.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $11.17 / $13.15	Professional		$9.99	$11.17	$13.15
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $26.30 / $39.68	Professional		$4.86	$26.30	$39.68