Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $109.65 / $234.42	Facility		$43.65	$109.65	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $51.29	Professional		$12.02	$14.13	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $22.39	Professional		$11.48	$17.78	$22.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $52.48	Facility		$13.49	$13.49	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $61.66	Professional		$15.49	$15.49	$61.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $60.26 / $100.00	Facility		$53.70	$60.26	$100.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $75.86	Professional		$28.84	$34.67	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $19.95	Professional		$11.48	$15.49	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $30.90 / $46.77	Professional		$9.77	$30.90	$46.77