Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $93.50 / $158.87	Facility		$20.05	$93.50	$158.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $17.84 / $45.39	Professional		$15.83	$17.84	$45.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.44 / $37.44 / $37.44	Facility		$37.44	$37.44	$37.44
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 $11.82 / $11.82 / $11.82	Facility		$11.82	$11.82	$11.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $13.55 / $54.20	Professional		$13.55	$13.55	$54.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $52.17 / $87.41	Facility		$47.43	$52.17	$87.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $30.49 / $115.00	Professional		$12.20	$30.49	$115.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $11.82 / $47.43	Facility		$11.82	$11.82	$47.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $17.52 / $19.57	Professional		$13.55	$17.52	$19.57
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $27.10 / $40.88	Professional		$8.52	$27.10	$40.88