Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $91.44 / $153.15	Facility		$19.61	$91.44	$153.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $44.39 / $50.80	Professional		$11.05	$44.39	$50.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $36.59 / $36.59	Facility		$36.59	$36.59	$36.59
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 $13.25 / $13.25 / $53.00	Professional		$13.25	$13.25	$53.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $51.01 / $77.36	Facility		$46.38	$51.01	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $29.81 / $29.81	Professional		$11.93	$29.81	$29.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $46.38	Facility		$10.87	$10.87	$46.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $13.25 / $17.32	Professional		$11.99	$13.25	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $26.50 / $39.97	Professional		$7.54	$26.50	$39.97