Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $89.13 / $151.36	Facility		$18.62	$89.13	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $40.74	Professional		$10.00	$12.02	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.45 / $18.20	Professional		$9.12	$14.45	$18.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $12.59	Facility		$10.96	$10.96	$12.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $50.12	Professional		$12.59	$12.59	$50.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $47.86 / $79.43	Facility		$43.65	$47.86	$79.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $28.18	Professional		$22.91	$28.18	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $16.22	Professional		$9.12	$12.59	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $25.12 / $38.02	Professional		$7.76	$25.12	$38.02