Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $80.26 / $136.36	Facility		$17.21	$80.26	$136.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $38.96 / $74.78	Professional		$38.96	$38.96	$74.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.13 / $32.13 / $32.13	Facility		$32.13	$32.13	$32.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.22 / $16.52	Professional		$8.52	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $10.55 / $10.55	Facility		$10.55	$10.55	$10.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $11.63 / $46.52	Professional		$11.63	$11.63	$46.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $44.78 / $75.08	Facility		$40.71	$44.78	$75.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $26.17 / $26.17	Professional		$10.47	$26.17	$26.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $10.55 / $40.71	Facility		$10.55	$10.55	$40.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $11.64 / $15.05	Professional		$11.63	$11.64	$15.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $23.26 / $35.09	Professional		$7.32	$23.26	$35.09