Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $103.87 / $176.47	Facility		$22.27	$103.87	$176.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $50.42 / $57.70	Professional		$13.84	$50.42	$57.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $41.57 / $41.57	Facility		$41.57	$41.57	$41.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $17.35 / $21.68	Professional		$11.07	$17.35	$21.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $13.65 / $13.65	Facility		$13.65	$13.65	$13.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $15.05 / $60.20	Professional		$15.05	$15.05	$60.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $57.94 / $97.12	Facility		$52.68	$57.94	$97.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $33.86 / $33.86	Professional		$13.55	$33.86	$33.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $13.65 / $52.68	Facility		$13.65	$13.65	$52.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $19.47 / $21.76	Professional		$15.05	$19.47	$21.76
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $30.10 / $45.41	Professional		$9.46	$30.10	$45.41