Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $85.98 / $146.09	Facility		$18.44	$85.98	$146.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $41.74 / $47.77	Professional		$11.48	$41.74	$47.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $34.43 / $34.43	Facility		$34.43	$34.43	$34.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $14.46 / $18.07	Professional		$9.08	$14.46	$18.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $10.86 / $10.86	Facility		$10.86	$10.86	$10.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $49.84	Professional		$12.46	$12.46	$49.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $47.97 / $80.39	Facility		$43.61	$47.97	$80.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $28.04 / $28.04	Professional		$11.21	$28.04	$28.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $10.86 / $43.61	Facility		$10.86	$10.86	$43.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $16.11 / $18.00	Professional		$12.46	$16.11	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $24.92 / $30.76	Professional		$7.83	$24.92	$30.76