Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $95.50 / $162.18	Facility		$19.95	$95.50	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $43.65	Professional		$10.00	$12.02	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $15.14 / $19.05	Professional		$6.31	$15.14	$19.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $13.49	Facility		$9.77	$9.77	$13.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $53.70	Professional		$13.49	$13.49	$53.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $48.98 / $54.95	Facility		$46.77	$48.98	$54.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.20 / $30.20	Professional		$17.78	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.02 / $13.49	Professional		$6.31	$12.02	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $26.92 / $40.74	Professional		$5.37	$26.92	$40.74