Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $69.18 / $208.93	Facility		$14.79	$69.18	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $32.36	Professional		$7.08	$8.91	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.22 / $13.80	Professional		$7.08	$11.22	$13.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $32.36	Facility		$8.71	$8.71	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $38.90	Professional		$9.77	$9.77	$38.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $37.15 / $63.10	Facility		$33.88	$37.15	$63.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $47.86	Professional		$17.78	$21.88	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.77 / $12.59	Professional		$7.08	$9.77	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $19.50 / $29.51	Professional		$6.17	$19.50	$29.51