Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $96.04 / $209.22	Facility		$48.95	$96.04	$209.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $43.38 / $43.38	Professional		$11.91	$43.38	$43.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $35.79	Facility		$35.79	$35.79	$35.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.87 / $18.59	Professional		$9.44	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $11.29 / $11.29	Facility		$11.29	$11.29	$11.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $12.95 / $51.80	Professional		$12.95	$12.95	$51.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $49.86 / $83.52	Facility		$45.32	$49.86	$83.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $29.14 / $210.00	Professional		$11.66	$29.14	$210.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $11.29 / $45.32	Facility		$11.29	$11.29	$45.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $16.73 / $18.71	Professional		$12.95	$16.73	$18.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $25.90 / $39.07	Professional		$8.14	$25.90	$39.07