Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $119.52 / $296.39	Facility		$34.00	$119.52	$296.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $43.22 / $49.46	Professional		$11.85	$43.22	$49.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $35.65 / $35.65	Facility		$35.65	$35.65	$35.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.87 / $18.59	Professional		$9.44	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $11.69 / $11.69	Facility		$11.69	$11.69	$11.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $12.90 / $51.60	Professional		$12.90	$12.90	$51.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $49.67 / $83.19	Facility		$45.15	$49.67	$83.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $29.03 / $29.03	Professional		$11.61	$29.03	$29.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $11.69 / $45.15	Facility		$11.69	$11.69	$45.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $12.90 / $16.67	Professional		$12.90	$12.90	$16.67
United Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $25.80 / $38.92	Professional		$8.10	$25.80	$38.92