Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.34 / $85.51 / $145.29	Facility		$18.34	$85.51	$145.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $41.51 / $47.50	Professional		$11.39	$41.51	$47.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $34.21 / $34.21	Facility		$34.21	$34.21	$34.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $14.04 / $17.55	Professional		$9.08	$14.04	$17.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $10.81 / $10.81	Facility		$10.81	$10.81	$10.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $49.56	Professional		$12.39	$12.39	$49.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.37 / $47.70 / $79.92	Facility		$43.37	$47.70	$79.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $27.88 / $27.88	Professional		$11.15	$27.88	$27.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $10.81 / $43.37	Facility		$10.81	$10.81	$43.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $16.02 / $17.89	Professional		$12.38	$16.02	$17.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $24.78 / $37.38	Professional		$7.79	$24.78	$37.38