Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $113.65 / $308.88	Facility		$49.10	$113.65	$308.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $39.60 / $45.32	Professional		$10.88	$39.60	$45.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $32.64 / $32.64	Facility		$32.64	$32.64	$32.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.63 / $17.04	Professional		$8.71	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $47.28	Professional		$11.82	$11.82	$47.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.37 / $45.51 / $76.27	Facility		$41.37	$45.51	$76.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $26.60 / $124.25	Professional		$10.64	$26.60	$124.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $41.37	Facility		$10.72	$10.72	$41.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $15.29 / $17.09	Professional		$11.82	$15.29	$17.09
United Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $23.64 / $35.65	Professional		$7.43	$23.64	$35.65