Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $89.66 / $153.83	Facility		$28.42	$89.66	$153.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $43.95 / $43.95	Professional		$12.07	$43.95	$43.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.25 / $36.25 / $36.25	Facility		$36.25	$36.25	$36.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $15.28 / $19.10	Professional		$9.61	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $11.90 / $11.90	Facility		$11.90	$11.90	$11.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.12 / $52.48	Professional		$13.12	$13.12	$52.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.92 / $50.51 / $84.66	Facility		$45.92	$50.51	$84.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $29.52 / $29.52	Professional		$11.81	$29.52	$29.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $11.90 / $45.92	Facility		$11.90	$11.90	$45.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.12 / $16.97	Professional		$13.12	$13.12	$16.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $26.24 / $39.59	Professional		$8.25	$26.24	$39.59