Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $123.03 / $154.88	Facility		$52.48	$123.03	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $41.69	Professional		$10.00	$11.48	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.45 / $18.20	Professional		$9.33	$14.45	$18.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.59 / $123.03	Facility		$11.48	$12.59	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $50.12	Professional		$12.59	$12.59	$50.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $48.98 / $81.28	Facility		$43.65	$48.98	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $61.66	Professional		$23.44	$28.18	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $16.22	Professional		$9.33	$12.59	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $25.12 / $38.02	Professional		$7.94	$25.12	$38.02