Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.42 / $93.42 / $209.72	Facility		$38.42	$93.42	$209.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $60.23 / $108.50	Professional		$16.53	$60.23	$108.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $49.68	Facility		$49.68	$49.68	$49.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $20.65 / $25.81	Professional		$13.25	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $17.98 / $71.92	Professional		$17.98	$17.98	$71.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.93 / $69.22 / $115.94	Facility		$62.93	$69.22	$115.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $40.46 / $132.13	Professional		$16.18	$40.46	$132.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $62.93	Facility		$16.29	$16.29	$62.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $17.98 / $25.97	Professional		$17.97	$17.98	$25.97
United Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $35.96 / $44.38	Professional		$11.30	$35.96	$44.38