Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $80.53 / $136.82	Facility		$17.27	$80.53	$136.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $39.09 / $44.74	Professional		$10.74	$39.09	$44.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $32.26 / $32.26	Facility		$32.26	$32.26	$32.26
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 $10.18 / $10.18 / $10.18	Facility		$10.18	$10.18	$10.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $11.67 / $46.68	Professional		$11.67	$11.67	$46.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $44.93 / $75.31	Facility		$40.85	$44.93	$75.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $26.26 / $26.26	Professional		$10.50	$26.26	$26.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $10.18 / $40.85	Facility		$10.18	$10.18	$40.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $11.67 / $15.10	Professional		$11.67	$11.67	$15.10
United Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $23.34 / $35.21	Professional		$7.34	$23.34	$35.21