Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $86.53 / $200.90	Facility		$38.63	$86.53	$200.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $38.63 / $48.28	Professional		$10.60	$38.63	$48.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $31.83 / $31.83	Facility		$31.83	$31.83	$31.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.22 / $16.52	Professional		$8.52	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $10.46 / $10.46	Facility		$10.46	$10.46	$10.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $46.12	Professional		$11.53	$11.53	$46.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $44.39 / $74.37	Facility		$40.36	$44.39	$74.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $25.94 / $93.13	Professional		$10.38	$25.94	$93.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $10.46 / $40.36	Facility		$10.46	$10.46	$40.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $14.91 / $16.64	Professional		$11.53	$14.91	$16.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $23.06 / $34.79	Professional		$7.25	$23.06	$34.79