Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.76 / $82.67 / $140.46	Facility		$49.76	$82.67	$140.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $40.13 / $45.93	Professional		$12.22	$40.13	$45.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $12.38 / $15.47	Professional		$6.30	$12.38	$15.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.97 / $10.30 / $18.64	Facility		$7.97	$10.30	$18.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $11.98 / $47.92	Professional		$11.98	$11.98	$47.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.93 / $46.12 / $77.36	Facility		$41.93	$46.12	$77.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $24.66 / $59.20	Professional		$10.78	$24.66	$59.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $10.81 / $23.36	Facility		$8.02	$10.81	$23.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $15.50 / $32.95	Professional		$11.98	$15.50	$32.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $23.96 / $36.15	Professional		$7.60	$23.96	$36.15