Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $87.36 / $130.05	Facility		$26.87	$87.36	$130.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $5.15 / $13.17	Professional		$4.58	$5.15	$13.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $10.84 / $10.84	Facility		$10.84	$10.84	$10.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $4.54 / $5.68	Professional		$2.90	$4.54	$5.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $3.41 / $3.41	Facility		$3.41	$3.41	$3.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $3.93 / $15.72	Professional		$3.93	$3.93	$15.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $15.13 / $25.31	Facility		$13.76	$15.13	$25.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $8.84 / $98.35	Professional		$3.54	$8.84	$98.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $3.41 / $13.76	Facility		$3.41	$3.41	$13.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $5.07 / $5.67	Professional		$3.93	$5.07	$5.67
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $7.86 / $11.86	Professional		$2.47	$7.86	$11.86