Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.37 / $94.28 / $314.81	Facility		$54.37	$94.28	$314.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $43.85 / $43.85	Professional		$12.05	$43.85	$43.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $36.17 / $36.17	Facility		$36.17	$36.17	$36.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $14.87 / $18.59	Professional		$9.61	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $11.41 / $11.41	Facility		$11.41	$11.41	$11.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.09 / $52.36	Professional		$13.09	$13.09	$52.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.82 / $50.40 / $84.47	Facility		$45.82	$50.40	$84.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $29.45 / $29.45	Professional		$11.78	$29.45	$29.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $11.41 / $45.82	Facility		$11.41	$11.41	$45.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.10 / $18.91	Professional		$13.09	$13.10	$18.91
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $26.18 / $39.50	Professional		$8.23	$26.18	$39.50