Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $106.16 / $352.73	Facility		$25.48	$106.16	$352.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $43.28 / $43.28	Professional		$11.88	$43.28	$43.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $35.70 / $35.70	Facility		$35.70	$35.70	$35.70
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 $11.70 / $11.70 / $11.70	Facility		$11.70	$11.70	$11.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $12.92 / $51.68	Professional		$12.92	$12.92	$51.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $49.74 / $83.33	Facility		$45.22	$49.74	$83.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $29.07 / $253.75	Professional		$11.63	$29.07	$253.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $11.70 / $45.22	Facility		$11.70	$11.70	$45.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $12.92 / $16.70	Professional		$12.92	$12.92	$16.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $25.84 / $38.97	Professional		$8.11	$25.84	$38.97