Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $114.82 / $269.15	Facility		$46.77	$114.82	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $21.88	Professional		$5.01	$6.03	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.41 / $9.33	Professional		$4.90	$7.41	$9.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.61 / $141.25	Facility		$6.03	$6.61	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $21.88	Professional		$6.61	$6.61	$21.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.70 / $42.66	Facility		$22.91	$25.70	$42.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $14.79	Professional		$12.30	$14.79	$14.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.61 / $8.51	Professional		$4.90	$6.61	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $13.18 / $19.95	Professional		$4.17	$13.18	$19.95