Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $91.20 / $154.88	Facility		$18.62	$91.20	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $41.69	Professional		$10.00	$12.02	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.45 / $18.20	Professional		$8.71	$14.45	$18.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.80 / $13.80	Facility		$12.59	$13.80	$13.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $50.12	Professional		$12.59	$12.59	$50.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $48.98 / $77.62	Facility		$44.67	$48.98	$77.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $28.18	Professional		$22.39	$28.18	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $15.49	Professional		$8.71	$12.02	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $25.12 / $38.02	Professional		$7.59	$25.12	$38.02