Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $112.20 / $134.90	Facility		$50.12	$112.20	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $19.50	Professional		$5.01	$6.03	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.41 / $9.33	Professional		$4.68	$7.41	$9.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $6.46 / $112.20	Facility		$5.62	$6.46	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $25.70	Professional		$6.46	$6.46	$25.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.12 / $41.69	Facility		$22.91	$25.12	$41.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $32.36	Professional		$12.02	$14.45	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.46 / $8.32	Professional		$4.68	$6.46	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $12.88 / $19.50	Professional		$4.07	$12.88	$19.50