Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $206.72 / $824.00	Facility		$56.95	$206.72	$824.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $45.56 / $56.95	Professional		$12.50	$45.56	$56.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $37.57 / $37.57	Facility		$37.57	$37.57	$37.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $15.69 / $19.62	Professional		$9.98	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $11.85 / $11.85	Facility		$11.85	$11.85	$11.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $13.60 / $54.40	Professional		$13.60	$13.60	$54.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $52.36 / $87.69	Facility		$47.60	$52.36	$87.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $30.60 / $30.60	Professional		$12.24	$30.60	$30.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $11.85 / $47.60	Facility		$11.85	$11.85	$47.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $13.60 / $19.64	Professional		$13.60	$13.60	$19.64
United Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $27.20 / $41.03	Professional		$8.55	$27.20	$41.03