Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $97.08 / $191.10	Facility		$30.21	$97.08	$191.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $11.86 / $31.73	Professional		$10.52	$11.86	$31.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $24.91 / $24.91	Facility		$24.91	$24.91	$24.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $10.33 / $12.91	Professional		$6.53	$10.33	$12.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $7.86 / $113.46	Facility		$7.86	$7.86	$113.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $36.08	Professional		$9.02	$9.02	$36.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $34.72 / $58.16	Facility		$31.57	$34.72	$58.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $20.30 / $123.75	Professional		$8.11	$20.30	$123.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $7.86 / $31.57	Facility		$7.86	$7.86	$31.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $13.03	Professional		$9.02	$9.02	$13.03
United Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $18.04 / $27.22	Professional		$5.67	$18.04	$27.22