Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $57.54 / $158.49	Facility		$23.99	$57.54	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $18.20	Professional		$3.98	$5.01	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.17 / $7.76	Professional		$4.17	$6.17	$7.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $5.62 / $57.54	Facility		$4.90	$5.62	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $22.39	Professional		$5.62	$5.62	$22.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $21.38 / $36.31	Facility		$19.50	$21.38	$36.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $12.59	Professional		$10.23	$12.59	$12.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Facility		$4.90	$4.90	$4.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.62 / $7.24	Professional		$4.17	$5.62	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $11.22 / $16.98	Professional		$3.55	$11.22	$16.98