Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.44 / $91.24 / $355.74	Facility		$22.44	$91.24	$355.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $15.12 / $23.57	Professional		$7.83	$15.12	$23.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $18.53 / $18.53	Facility		$18.53	$18.53	$18.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.85 / $9.81	Professional		$4.90	$7.85	$9.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $5.85 / $104.76	Facility		$5.85	$5.85	$104.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $26.80	Professional		$6.70	$6.70	$26.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $25.80 / $43.18	Facility		$23.45	$25.80	$43.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $15.08 / $107.50	Professional		$6.03	$15.08	$107.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $5.85 / $23.45	Facility		$5.85	$5.85	$23.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $8.65	Professional		$6.70	$6.70	$8.65
United Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $13.40 / $20.22	Professional		$4.21	$13.40	$20.22