Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $80.78 / $210.70	Facility		$8.65	$80.78	$210.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $15.54 / $24.23	Professional		$8.02	$15.54	$24.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $19.04 / $19.04	Facility		$19.04	$19.04	$19.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.85 / $9.81	Professional		$5.08	$7.85	$9.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $106.12	Facility		$6.00	$6.00	$106.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $27.56	Professional		$6.89	$6.89	$27.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.12 / $26.53 / $44.46	Facility		$24.12	$26.53	$44.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $15.50 / $92.50	Professional		$6.20	$15.50	$92.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $24.12	Facility		$6.00	$6.00	$24.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $8.91	Professional		$6.89	$6.89	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $13.78 / $20.79	Professional		$4.33	$13.78	$20.79