Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $93.02 / $212.44	Facility		$33.61	$93.02	$212.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $44.19 / $50.57	Professional		$12.13	$44.19	$50.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $36.42 / $36.42	Facility		$36.42	$36.42	$36.42
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 $11.96 / $11.96 / $11.96	Facility		$11.96	$11.96	$11.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $13.19 / $52.76	Professional		$13.19	$13.19	$52.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.17 / $50.78 / $85.08	Facility		$46.17	$50.78	$85.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $29.68 / $175.00	Professional		$11.87	$29.68	$175.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $11.96 / $46.17	Facility		$11.96	$11.96	$46.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $17.05 / $19.05	Professional		$13.19	$17.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $26.38 / $39.79	Professional		$8.28	$26.38	$39.79