Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $89.13 / $173.78	Facility		$25.12	$89.13	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $194.98	Professional		$12.02	$14.13	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $21.38	Professional		$10.96	$16.98	$21.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.14 / $97.72	Facility		$13.18	$15.14	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $60.26	Professional		$15.14	$15.14	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $57.54 / $97.72	Facility		$52.48	$57.54	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $74.13	Professional		$27.54	$33.88	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $19.50	Professional		$10.96	$15.14	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $30.20 / $45.71	Professional		$9.33	$30.20	$45.71