Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $99.88 / $217.73	Facility		$22.63	$99.88	$217.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $51.22 / $64.02	Professional		$14.08	$51.22	$64.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $42.25 / $42.25	Facility		$42.25	$42.25	$42.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $17.35 / $21.68	Professional		$11.25	$17.35	$21.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $13.87 / $13.87	Facility		$13.87	$13.87	$13.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $61.16	Professional		$15.29	$15.29	$61.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.52 / $58.87 / $98.69	Facility		$53.52	$58.87	$98.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $34.40 / $157.50	Professional		$13.76	$34.40	$157.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $13.87 / $53.52	Facility		$13.87	$13.87	$53.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $19.78 / $22.10	Professional		$15.29	$19.78	$22.10
United Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $30.58 / $37.76	Professional		$9.61	$30.58	$37.76