Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.52 / $97.93 / $230.10	Facility		$45.52	$97.93	$230.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $43.72 / $50.03	Professional		$12.00	$43.72	$50.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $36.04 / $36.04	Facility		$36.04	$36.04	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $14.87 / $18.59	Professional		$9.61	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $11.83 / $11.83	Facility		$11.83	$11.83	$11.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $13.05 / $52.20	Professional		$13.05	$13.05	$52.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $50.24 / $84.18	Facility		$45.68	$50.24	$84.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $29.36 / $29.36	Professional		$11.75	$29.36	$29.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $11.83 / $45.68	Facility		$11.83	$11.83	$45.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $16.87 / $18.86	Professional		$13.05	$16.87	$18.86
United Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $26.10 / $39.36	Professional		$8.19	$26.10	$39.36