Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $115.40 / $231.03	Facility		$50.16	$115.40	$231.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $40.13 / $40.13	Professional		$10.84	$40.13	$40.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.63 / $17.04	Professional		$8.71	$13.63	$17.04
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 $11.98 / $11.98 / $47.92	Professional		$11.98	$11.98	$47.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.93 / $46.12 / $77.36	Facility		$41.93	$46.12	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $26.96 / $136.25	Professional		$10.78	$26.96	$136.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $41.93	Facility		$10.87	$10.87	$41.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $15.50 / $17.32	Professional		$11.98	$15.50	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $23.96 / $36.15	Professional		$7.54	$23.96	$36.15