Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $87.98 / $149.49	Facility		$18.87	$87.98	$149.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $42.71 / $81.98	Professional		$42.71	$42.71	$81.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $35.22 / $35.22	Facility		$35.22	$35.22	$35.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $14.46 / $18.07	Professional		$8.52	$14.46	$18.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $12.75 / $51.00	Professional		$12.75	$12.75	$51.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.63 / $49.09 / $75.08	Facility		$44.63	$49.09	$75.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.69 / $28.69	Professional		$11.48	$28.69	$28.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $44.63	Facility		$13.80	$13.80	$44.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $12.75 / $15.05	Professional		$11.64	$12.75	$15.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $25.50 / $38.47	Professional		$7.32	$25.50	$38.47