Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $106.63 / $181.16	Facility		$22.87	$106.63	$181.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $51.76 / $59.24	Professional		$13.11	$51.76	$59.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $42.67	Facility		$42.67	$42.67	$42.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $17.76 / $22.20	Professional		$10.53	$17.76	$22.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $12.93 / $12.93	Facility		$12.93	$12.93	$12.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $15.45 / $61.80	Professional		$15.45	$15.45	$61.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $59.48 / $91.96	Facility		$54.07	$59.48	$91.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $34.76 / $34.76	Professional		$13.91	$34.76	$34.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $12.93 / $54.07	Facility		$12.93	$12.93	$54.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $15.45 / $20.59	Professional		$14.26	$15.45	$20.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $30.90 / $46.62	Professional		$8.96	$30.90	$46.62