Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $86.40 / $146.79	Facility		$18.53	$86.40	$146.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $41.94 / $80.50	Professional		$41.94	$41.94	$80.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.60 / $34.60 / $34.60	Facility		$34.60	$34.60	$34.60
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 $11.36 / $11.36 / $11.36	Facility		$11.36	$11.36	$11.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $12.52 / $50.08	Professional		$12.52	$12.52	$50.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $48.20 / $80.81	Facility		$43.82	$48.20	$80.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $28.17 / $28.17	Professional		$11.27	$28.17	$28.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.36 / $43.82	Facility		$11.36	$11.36	$43.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $16.20 / $18.11	Professional		$12.52	$16.20	$18.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $25.04 / $37.78	Professional		$7.88	$25.04	$37.78