Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $190.55 / $251.19	Facility		$60.26	$190.55	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $45.71	Professional		$10.96	$12.88	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.22 / $19.95	Professional		$9.12	$16.22	$19.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $61.66	Facility		$11.22	$11.22	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $54.95	Professional		$13.80	$13.80	$54.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $53.70 / $81.28	Facility		$47.86	$53.70	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $30.90	Professional		$22.91	$30.90	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $16.22	Professional		$9.12	$12.59	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $27.54 / $41.69	Professional		$7.94	$27.54	$41.69