Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $102.33 / $169.82	Facility		$42.66	$102.33	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $56.23	Professional		$12.88	$15.14	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.50 / $23.99	Professional		$10.96	$19.50	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $75.86	Facility		$13.80	$13.80	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $67.61	Professional		$16.60	$16.60	$67.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $64.57 / $97.72	Facility		$58.88	$64.57	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $38.02	Professional		$28.18	$38.02	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $19.50	Professional		$10.96	$15.14	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $33.88 / $50.12	Professional		$9.55	$33.88	$50.12