Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $96.61 / $164.15	Facility		$20.72	$96.61	$164.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $46.90 / $53.68	Professional		$12.89	$46.90	$53.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $38.68 / $38.68	Facility		$38.68	$38.68	$38.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $16.11 / $20.13	Professional		$10.35	$16.11	$20.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Facility		$15.15	$15.15	$15.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $56.00	Professional		$14.00	$14.00	$56.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $53.90 / $90.34	Facility		$49.00	$53.90	$90.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $31.50 / $31.50	Professional		$12.60	$31.50	$31.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $49.00	Facility		$15.15	$15.15	$49.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $18.11	Professional		$14.00	$14.00	$18.11
United Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $28.00 / $34.58	Professional		$8.81	$28.00	$34.58