Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.83 / $111.12 / $188.79	Facility		$23.83	$111.12	$188.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $53.94 / $61.73	Professional		$11.05	$53.94	$61.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.50 / $44.50 / $44.50	Facility		$44.50	$44.50	$44.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.59 / $23.23	Professional		$8.71	$18.59	$23.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Facility		$11.73	$11.73	$11.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $16.10 / $64.40	Professional		$16.10	$16.10	$64.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.35 / $61.99 / $77.36	Facility		$56.35	$61.99	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $36.22 / $36.22	Professional		$14.49	$36.22	$36.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $11.73 / $56.35	Facility		$11.73	$11.73	$56.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $15.50 / $17.32	Professional		$14.49	$15.50	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $32.20 / $48.58	Professional		$7.54	$32.20	$48.58