Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $131.83 / $131.83	Facility		$46.77	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $22.91	Professional		$5.01	$6.03	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.76 / $9.77	Professional		$5.13	$7.76	$9.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $30.90	Facility		$6.31	$6.31	$30.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $27.54	Professional		$6.92	$6.92	$27.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $26.30 / $44.67	Facility		$23.99	$26.30	$44.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $15.49	Professional		$12.88	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Facility		$6.31	$6.31	$6.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.92 / $8.32	Professional		$5.13	$6.92	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $13.80 / $20.89	Professional		$4.37	$13.80	$20.89