Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $85.84 / $145.18	Facility		$18.59	$85.84	$145.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $42.08 / $80.76	Professional		$42.08	$42.08	$80.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $34.68 / $34.68	Facility		$34.68	$34.68	$34.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $14.46 / $18.07	Professional		$9.26	$14.46	$18.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $12.56 / $50.24	Professional		$12.56	$12.56	$50.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.96 / $48.36 / $81.01	Facility		$43.96	$48.36	$81.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $28.26 / $28.26	Professional		$11.30	$28.26	$28.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $43.96	Facility		$10.96	$10.96	$43.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $12.56 / $16.23	Professional		$12.56	$12.56	$16.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $25.12 / $37.90	Professional		$7.90	$25.12	$37.90