Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $89.10 / $151.38	Facility		$19.11	$89.10	$151.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $43.25 / $49.50	Professional		$10.91	$43.25	$49.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $35.65 / $35.65	Facility		$35.65	$35.65	$35.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.87 / $18.59	Professional		$8.71	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Facility		$10.74	$10.74	$10.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $12.91 / $51.64	Professional		$12.91	$12.91	$51.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $49.70 / $76.41	Facility		$45.19	$49.70	$76.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $29.05 / $29.05	Professional		$11.62	$29.05	$29.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $10.74 / $45.19	Facility		$10.74	$10.74	$45.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $15.31 / $17.12	Professional		$11.84	$15.31	$17.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $25.82 / $38.95	Professional		$7.45	$25.82	$38.95