Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.13 / $89.92 / $828.19	Facility		$54.13	$89.92	$828.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $43.65 / $49.96	Professional		$12.00	$43.65	$49.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Facility		$36.00	$36.00	$36.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $14.87 / $18.59	Professional		$9.61	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $11.81 / $11.81	Facility		$11.81	$11.81	$11.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $13.03 / $52.12	Professional		$13.03	$13.03	$52.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.61 / $50.17 / $84.04	Facility		$45.61	$50.17	$84.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $29.32 / $29.32	Professional		$11.73	$29.32	$29.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $11.81 / $45.61	Facility		$11.81	$11.81	$45.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $13.03 / $16.84	Professional		$13.02	$13.03	$16.84
United Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $26.06 / $39.31	Professional		$8.19	$26.06	$39.31