Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.77 / $92.21 / $156.66	Facility		$19.77	$92.21	$156.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $44.76 / $85.90	Professional		$44.76	$44.76	$85.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.89 / $36.89 / $36.89	Facility		$36.89	$36.89	$36.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $15.28 / $19.10	Professional		$9.80	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $11.65 / $11.65	Facility		$11.65	$11.65	$11.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $13.36 / $53.44	Professional		$13.36	$13.36	$53.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $51.44 / $86.17	Facility		$46.76	$51.44	$86.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $30.06 / $30.06	Professional		$12.02	$30.06	$30.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $11.65 / $46.76	Facility		$11.65	$11.65	$46.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $9.80 / $13.36	Professional		$8.65	$9.80	$13.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $26.72 / $40.31	Professional		$8.40	$26.72	$40.31