Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $87.65 / $148.93	Facility		$18.80	$87.65	$148.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $42.55 / $48.69	Professional		$10.25	$42.55	$48.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Facility		$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $14.46 / $18.07	Professional		$7.44	$14.46	$18.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $9.25 / $9.25	Facility		$9.25	$9.25	$9.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $12.70 / $50.80	Professional		$12.70	$12.70	$50.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.45 / $48.89 / $64.70	Facility		$44.45	$48.89	$64.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $28.58 / $28.58	Professional		$11.43	$28.58	$28.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $9.25 / $44.45	Facility		$9.25	$9.25	$44.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $12.70 / $12.97	Professional		$11.43	$12.70	$12.97
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $25.40 / $38.32	Professional		$6.31	$25.40	$38.32