Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $87.95 / $154.00	Facility		$28.81	$87.95	$154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $18.93 / $48.21	Professional		$16.80	$18.93	$48.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $39.74 / $39.74	Facility		$39.74	$39.74	$39.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $16.52 / $20.65	Professional		$10.53	$16.52	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $12.55 / $12.55	Facility		$12.55	$12.55	$12.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $57.56	Professional		$14.39	$14.39	$57.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $55.40 / $92.81	Facility		$50.37	$55.40	$92.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $32.38 / $98.75	Professional		$12.95	$32.38	$98.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $12.55 / $50.37	Facility		$12.55	$12.55	$50.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $18.60	Professional		$14.39	$14.39	$18.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $28.78 / $43.42	Professional		$9.05	$28.78	$43.42