Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $107.02 / $182.74	Facility		$33.61	$107.02	$182.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $61.61 / $70.51	Professional		$16.94	$61.61	$70.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.79 / $50.79 / $50.79	Facility		$50.79	$50.79	$50.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $21.06 / $26.33	Professional		$13.43	$21.06	$26.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $16.68 / $16.68	Facility		$16.68	$16.68	$16.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $73.56	Professional		$18.39	$18.39	$73.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $70.80 / $118.64	Facility		$64.37	$70.80	$118.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $41.38 / $151.50	Professional		$16.55	$41.38	$151.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $16.68 / $64.37	Facility		$16.68	$16.68	$64.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $23.78 / $26.58	Professional		$18.39	$23.78	$26.58
United Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $36.78 / $45.42	Professional		$11.57	$36.78	$45.42