Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $92.62 / $157.36	Facility		$19.86	$92.62	$157.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $44.96 / $51.45	Professional		$11.05	$44.96	$51.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.06 / $37.06 / $37.06	Facility		$37.06	$37.06	$37.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.28 / $19.10	Professional		$8.71	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $10.87	Facility		$10.87	$10.87	$10.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.42 / $53.68	Professional		$13.42	$13.42	$53.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $51.67 / $77.36	Facility		$46.97	$51.67	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $30.20 / $30.20	Professional		$12.08	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $46.97	Facility		$10.87	$10.87	$46.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $15.50 / $17.32	Professional		$12.08	$15.50	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $26.84 / $40.49	Professional		$7.54	$26.84	$40.49