Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $118.85 / $147.49	Facility		$48.02	$118.85	$147.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $42.14 / $42.14	Professional		$11.57	$42.14	$42.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $34.77	Facility		$34.77	$34.77	$34.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $14.46 / $18.07	Professional		$9.26	$14.46	$18.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $11.41 / $11.41	Facility		$11.41	$11.41	$11.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $50.32	Professional		$12.58	$12.58	$50.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $48.43 / $81.15	Facility		$44.03	$48.43	$81.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $28.31 / $133.75	Professional		$11.32	$28.31	$133.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $11.41 / $44.03	Facility		$11.41	$11.41	$44.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.58 / $16.26	Professional		$12.57	$12.58	$16.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $25.16 / $37.96	Professional		$7.91	$25.16	$37.96