Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $83.18 / $218.78	Facility		$44.67	$83.18	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $46.77	Professional		$10.96	$12.88	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.60 / $20.42	Professional		$9.33	$16.60	$20.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.45 / $83.18	Facility		$11.75	$14.45	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $57.54	Professional		$14.45	$14.45	$57.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $54.95 / $83.18	Facility		$50.12	$54.95	$83.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $32.36	Professional		$23.99	$32.36	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $16.60	Professional		$9.33	$12.88	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $28.84 / $43.65	Professional		$8.13	$28.84	$43.65