Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $86.44 / $171.70	Facility		$20.92	$86.44	$171.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.85 / $31.16	Professional		$8.61	$10.85	$31.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $25.71 / $25.71	Facility		$25.71	$25.71	$25.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $10.74 / $13.42	Professional		$6.90	$10.74	$13.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $8.10 / $8.10	Facility		$8.10	$8.10	$8.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $37.20	Professional		$9.30	$9.30	$37.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $35.81 / $59.44	Facility		$32.54	$35.81	$59.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $20.93 / $150.00	Professional		$8.36	$20.93	$150.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $8.10 / $32.54	Facility		$8.10	$8.10	$32.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $9.30 / $9.31	Professional		$8.28	$9.30	$9.31
United Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $18.60 / $28.06	Professional		$5.85	$18.60	$28.06