Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $103.52 / $175.88	Facility		$22.20	$103.52	$175.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $96.45	Professional		$50.25	$50.25	$96.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.44 / $41.44 / $41.44	Facility		$41.44	$41.44	$41.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $16.93 / $21.17	Professional		$9.61	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $16.23 / $16.23	Facility		$16.23	$16.23	$16.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $60.00	Professional		$15.00	$15.00	$60.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $57.75 / $85.08	Facility		$52.50	$57.75	$85.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $33.75 / $33.75	Professional		$13.50	$33.75	$33.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $16.23 / $52.50	Facility		$16.23	$16.23	$52.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $15.00 / $17.05	Professional		$13.50	$15.00	$17.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $30.00 / $45.26	Professional		$8.28	$30.00	$45.26