Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $106.75 / $181.37	Facility		$22.90	$106.75	$181.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $51.82 / $99.47	Professional		$51.82	$51.82	$99.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $42.76 / $42.76	Facility		$42.76	$42.76	$42.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $17.76 / $22.20	Professional		$10.35	$17.76	$22.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $16.73 / $16.73	Facility		$16.73	$16.73	$16.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $15.47 / $61.88	Professional		$15.47	$15.47	$61.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $59.56 / $91.39	Facility		$54.15	$59.56	$91.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $34.81 / $34.81	Professional		$13.92	$34.81	$34.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $16.73 / $54.15	Facility		$16.73	$16.73	$54.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $18.32 / $20.48	Professional		$14.18	$18.32	$20.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $30.94 / $46.68	Professional		$8.91	$30.94	$46.68