Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $90.19 / $153.22	Facility		$19.34	$90.19	$153.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $43.78 / $84.04	Professional		$43.78	$43.78	$84.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.13 / $36.13 / $36.13	Facility		$36.13	$36.13	$36.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $15.97	Professional		$7.44	$7.44	$15.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.61 / $62.61 / $62.61	Facility		$62.61	$62.61	$62.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $13.07 / $42.09	Professional		$13.07	$13.07	$42.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $50.32 / $65.13	Facility		$45.75	$50.32	$65.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $29.41 / $29.41	Professional		$11.76	$29.41	$29.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.13 / $50.32 / $65.13	Facility		$36.13	$50.32	$65.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $11.76 / $15.97	Professional		$7.44	$11.76	$15.97
United Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $26.14 / $39.21	Professional		$19.66	$26.14	$39.21