Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $101.45 / $156.25	Facility		$56.16	$101.45	$156.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $45.29 / $45.29	Professional		$12.43	$45.29	$45.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $15.69 / $19.62	Professional		$9.98	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $12.27 / $12.27	Facility		$12.27	$12.27	$12.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $13.52 / $54.08	Professional		$13.52	$13.52	$54.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.32 / $52.05 / $87.17	Facility		$47.32	$52.05	$87.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $30.42 / $30.42	Professional		$12.17	$30.42	$30.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $12.27 / $47.32	Facility		$12.27	$12.27	$47.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $13.52 / $19.52	Professional		$13.52	$13.52	$19.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $27.04 / $40.79	Professional		$8.50	$27.04	$40.79