Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $93.33 / $158.49	Facility		$19.50	$93.33	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $42.66	Professional		$10.00	$12.02	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.79 / $18.62	Professional		$10.23	$14.79	$18.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.13 / $14.13	Facility		$13.18	$14.13	$14.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $52.48	Professional		$13.18	$13.18	$52.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $50.12 / $91.20	Facility		$45.71	$50.12	$91.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $29.51	Professional		$23.99	$29.51	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $18.20	Professional		$10.23	$13.18	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $26.30 / $39.81	Professional		$8.91	$26.30	$39.81