Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $102.33 / $194.98	Facility		$34.67	$102.33	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $47.86	Professional		$12.02	$14.13	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.20 / $22.91	Professional		$11.75	$18.20	$22.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.85 / $131.83	Facility		$14.45	$15.85	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $63.10	Professional		$15.85	$15.85	$63.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $61.66 / $102.33	Facility		$56.23	$61.66	$102.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $79.43	Professional		$29.51	$35.48	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $20.42	Professional		$11.75	$15.85	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $31.62 / $47.86	Professional		$10.00	$31.62	$47.86