Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $97.40 / $461.40	Facility		$53.92	$97.40	$461.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $43.48 / $49.77	Professional		$11.94	$43.48	$49.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $35.86 / $35.86	Facility		$35.86	$35.86	$35.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.87 / $18.59	Professional		$9.44	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $11.78	Facility		$11.78	$11.78	$11.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $12.98 / $51.92	Professional		$12.98	$12.98	$51.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $49.97 / $83.76	Facility		$45.43	$49.97	$83.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $29.21 / $29.21	Professional		$11.68	$29.21	$29.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $45.43	Facility		$11.78	$11.78	$45.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $12.99 / $18.76	Professional		$12.98	$12.99	$18.76
United Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $25.96 / $39.15	Professional		$8.16	$25.96	$39.15