Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $91.36 / $421.98	Facility		$19.60	$91.36	$421.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $44.35 / $44.35	Professional		$12.17	$44.35	$44.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $36.59 / $36.59	Facility		$36.59	$36.59	$36.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $15.28 / $19.10	Professional		$9.61	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Facility		$11.55	$11.55	$11.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $52.96	Professional		$13.24	$13.24	$52.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.34 / $50.97 / $85.41	Facility		$46.34	$50.97	$85.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $29.79 / $29.79	Professional		$11.92	$29.79	$29.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $11.55 / $46.34	Facility		$11.55	$11.55	$46.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $17.12 / $19.14	Professional		$13.24	$17.12	$19.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $26.48 / $39.95	Professional		$8.33	$26.48	$39.95