Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $89.77 / $152.53	Facility		$54.04	$89.77	$152.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $43.58 / $49.88	Professional		$11.98	$43.58	$49.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $35.96	Facility		$35.96	$35.96	$35.96
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 $11.79 / $11.79 / $11.79	Facility		$11.79	$11.79	$11.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.01 / $52.04	Professional		$13.01	$13.01	$52.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.54 / $50.09 / $83.90	Facility		$45.54	$50.09	$83.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $29.27 / $29.27	Professional		$11.71	$29.27	$29.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $11.79 / $45.54	Facility		$11.79	$11.79	$45.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.01 / $16.82	Professional		$13.01	$13.01	$16.82
United Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $26.02 / $39.25	Professional		$8.18	$26.02	$39.25