Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $86.91 / $170.10	Facility		$28.33	$86.91	$170.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $22.85 / $22.85	Professional		$6.28	$22.85	$22.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $18.82 / $18.82	Facility		$18.82	$18.82	$18.82
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 $6.18 / $6.18 / $6.18	Facility		$6.18	$6.18	$6.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $6.82 / $27.28	Professional		$6.82	$6.82	$27.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $26.26 / $43.99	Facility		$23.87	$26.26	$43.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $15.35 / $157.50	Professional		$6.14	$15.35	$157.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $6.18 / $23.87	Facility		$6.18	$6.18	$23.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $8.82 / $9.84	Professional		$6.81	$8.82	$9.84
United Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $13.64 / $20.58	Professional		$4.28	$13.64	$20.58