Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $96.96 / $164.75	Facility		$20.79	$96.96	$164.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $47.07 / $53.87	Professional		$12.92	$47.07	$53.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Facility		$38.79	$38.79	$38.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $16.11 / $20.13	Professional		$10.35	$16.11	$20.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $12.25 / $12.25	Facility		$12.25	$12.25	$12.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $56.20	Professional		$14.05	$14.05	$56.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.18 / $54.09 / $90.58	Facility		$49.18	$54.09	$90.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $31.61 / $31.61	Professional		$12.65	$31.61	$31.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $12.25 / $49.18	Facility		$12.25	$12.25	$49.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $18.14	Professional		$14.05	$14.05	$18.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $28.10 / $42.39	Professional		$8.83	$28.10	$42.39