Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $89.03 / $149.11	Facility		$19.09	$89.03	$149.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $43.22 / $49.46	Professional		$11.88	$43.22	$49.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $35.65 / $35.65	Facility		$35.65	$35.65	$35.65
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 $11.70 / $11.70 / $11.70	Facility		$11.70	$11.70	$11.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $12.90 / $51.60	Professional		$12.90	$12.90	$51.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $49.67 / $83.23	Facility		$45.15	$49.67	$83.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $29.03 / $29.03	Professional		$11.61	$29.03	$29.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $11.70 / $45.15	Facility		$11.70	$11.70	$45.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $12.91 / $16.68	Professional		$12.90	$12.91	$16.68
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $25.80 / $38.92	Professional		$8.11	$25.80	$38.92