Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $100.00 / $186.21	Facility		$43.65	$100.00	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $42.66	Professional		$10.00	$12.02	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.79 / $18.62	Professional		$9.55	$14.79	$18.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.18 / $114.82	Facility		$11.75	$13.18	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $52.48	Professional		$13.18	$13.18	$52.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $50.12 / $85.11	Facility		$45.71	$50.12	$85.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $29.51	Professional		$23.99	$29.51	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $16.98	Professional		$9.55	$13.18	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $26.30 / $39.81	Professional		$8.13	$26.30	$39.81