Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.51 / $114.60 / $209.06	Facility		$49.51	$114.60	$209.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $39.93 / $45.70	Professional		$10.97	$39.93	$45.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.94 / $32.94 / $32.94	Facility		$32.94	$32.94	$32.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.63 / $17.04	Professional		$8.71	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $10.80 / $10.80	Facility		$10.80	$10.80	$10.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $11.92 / $47.68	Professional		$11.92	$11.92	$47.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $45.89 / $76.93	Facility		$41.72	$45.89	$76.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $26.82 / $185.58	Professional		$10.73	$26.82	$185.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $10.80 / $41.72	Facility		$10.80	$10.80	$41.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $15.42 / $17.23	Professional		$11.92	$15.42	$17.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $23.84 / $35.97	Professional		$7.50	$23.84	$35.97