Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $107.66 / $182.91	Facility		$23.09	$107.66	$182.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $52.26 / $59.81	Professional		$11.05	$52.26	$59.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.10 / $43.10 / $43.10	Facility		$43.10	$43.10	$43.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.76 / $22.20	Professional		$8.71	$17.76	$22.20
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 $15.60 / $15.60 / $62.40	Professional		$15.60	$15.60	$62.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $60.06 / $77.36	Facility		$54.60	$60.06	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $35.10 / $35.10	Professional		$14.04	$35.10	$35.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.36 / $54.60	Facility		$11.36	$11.36	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $15.50 / $15.60	Professional		$14.04	$15.50	$15.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $31.20 / $47.07	Professional		$7.54	$31.20	$47.07