Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $97.52 / $165.69	Facility		$20.91	$97.52	$165.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $20.95 / $47.34	Professional		$10.84	$20.95	$47.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $39.02 / $39.02	Facility		$39.02	$39.02	$39.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.52 / $20.65	Professional		$8.71	$16.52	$20.65
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 $12.72 / $42.39 / $56.52	Professional		$12.72	$42.39	$56.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.46 / $65.31 / $77.36	Facility		$49.46	$65.31	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $31.79 / $31.79	Professional		$12.72	$31.79	$31.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $10.87	Facility		$10.87	$10.87	$10.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $14.13 / $15.50	Professional		$12.72	$14.13	$15.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $28.26 / $42.63	Professional		$7.54	$28.26	$42.63