Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $75.86 / $223.87	Facility		$28.18	$75.86	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $20.89	Professional		$5.01	$6.03	$20.89
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 $3.63 / $7.41 / $9.33	Professional		$3.63	$7.41	$9.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $6.46	Facility		$4.68	$4.68	$6.46
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 / $31.62	Facility		$22.91	$25.12	$31.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.45 / $14.45	Professional		$9.77	$14.45	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.89 / $6.46	Professional		$3.63	$5.89	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $12.88 / $19.50	Professional		$3.09	$12.88	$19.50