Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $109.65 / $183.64	Facility		$23.52	$109.65	$183.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $53.23 / $60.92	Professional		$11.85	$53.23	$60.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.90 / $43.90 / $43.90	Facility		$43.90	$43.90	$43.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $18.17 / $22.72	Professional		$9.44	$18.17	$22.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $11.57 / $11.57	Facility		$11.57	$11.57	$11.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $15.89 / $63.56	Professional		$15.89	$15.89	$63.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $61.18 / $83.14	Facility		$55.62	$61.18	$83.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $35.75 / $200.64	Professional		$14.30	$35.75	$200.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $11.57 / $55.62	Facility		$11.57	$11.57	$55.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $15.89 / $16.66	Professional		$14.30	$15.89	$16.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $31.78 / $47.94	Professional		$8.10	$31.78	$47.94