Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $93.92 / $159.57	Facility		$20.14	$93.92	$159.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $45.59 / $87.51	Professional		$45.59	$45.59	$87.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $37.61 / $37.61	Facility		$37.61	$37.61	$37.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.69 / $19.62	Professional		$8.71	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $14.72 / $14.72	Facility		$14.72	$14.72	$14.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $13.61 / $54.44	Professional		$13.61	$13.61	$54.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $52.40 / $77.36	Facility		$47.64	$52.40	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $30.62 / $30.62	Professional		$12.25	$30.62	$30.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $14.72 / $47.64	Facility		$14.72	$14.72	$47.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.50 / $17.32	Professional		$12.25	$15.50	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $27.22 / $41.06	Professional		$7.54	$27.22	$41.06