Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $107.15 / $186.21	Facility		$22.39	$107.15	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $50.12	Professional		$12.02	$14.13	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $21.88	Professional		$10.96	$17.38	$21.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $15.14	Facility		$13.80	$13.80	$15.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $60.26	Professional		$15.14	$15.14	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $57.54 / $97.72	Facility		$52.48	$57.54	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $33.88	Professional		$28.18	$33.88	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $19.50	Professional		$10.96	$15.14	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $30.20 / $45.71	Professional		$9.55	$30.20	$45.71