Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $80.11 / $134.16	Facility		$20.39	$80.11	$134.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $38.89 / $48.61	Professional		$10.68	$38.89	$48.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $32.09 / $32.09	Facility		$32.09	$32.09	$32.09
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 $10.52 / $10.52 / $10.52	Facility		$10.52	$10.52	$10.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $46.44	Professional		$11.61	$11.61	$46.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.64 / $44.70 / $74.84	Facility		$40.64	$44.70	$74.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $26.12 / $26.12	Professional		$10.45	$26.12	$26.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $10.52 / $40.64	Facility		$10.52	$10.52	$40.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $15.00	Professional		$11.61	$11.61	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $23.22 / $35.03	Professional		$7.29	$23.22	$35.03