Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.03 / $50.39 / $159.38	Facility		$28.03	$50.39	$159.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $38.76 / $48.44	Professional		$10.64	$38.76	$48.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Facility		$31.96	$31.96	$31.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.22 / $16.52	Professional		$8.52	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.49 / $10.49 / $10.49	Facility		$10.49	$10.49	$10.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $11.57 / $46.28	Professional		$11.57	$11.57	$46.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $44.54 / $74.66	Facility		$40.50	$44.54	$74.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $26.03 / $125.93	Professional		$10.41	$26.03	$125.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.49 / $10.49 / $40.50	Facility		$10.49	$10.49	$40.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $14.96 / $16.71	Professional		$11.57	$14.96	$16.71
United Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $23.14 / $28.56	Professional		$7.27	$23.14	$28.56