Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $112.20 / $245.47	Facility		$28.18	$112.20	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $20.89	Professional		$5.01	$6.03	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.41 / $9.33	Professional		$4.68	$7.41	$9.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.46 / $123.03	Facility		$5.25	$6.46	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.59 / $26.92	Professional		$6.46	$7.59	$26.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.12 / $41.69	Facility		$22.91	$25.12	$41.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $31.62	Professional		$12.02	$14.45	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Facility		$5.25	$5.25	$5.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.46 / $8.32	Professional		$4.68	$6.46	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $12.88 / $19.50	Professional		$4.07	$12.88	$19.50