Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $90.33 / $153.47	Facility		$19.37	$90.33	$153.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $43.85 / $84.17	Professional		$43.85	$43.85	$84.17
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 $10.35 / $14.87 / $18.59	Professional		$10.35	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $14.16 / $14.16	Facility		$14.16	$14.16	$14.16
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 / $91.43	Facility		$45.82	$50.40	$91.43
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 $14.16 / $14.16 / $45.82	Facility		$14.16	$14.16	$45.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.10 / $20.48	Professional		$13.09	$13.10	$20.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $26.18 / $39.50	Professional		$8.91	$26.18	$39.50