Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $122.74 / $338.10	Facility		$40.70	$122.74	$338.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $19.16 / $32.56	Professional		$7.80	$19.16	$32.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.86 / $26.86 / $26.86	Facility		$26.86	$26.86	$26.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $11.15 / $13.94	Professional		$6.17	$11.15	$13.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $7.71 / $7.71	Facility		$7.71	$7.71	$7.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $9.72 / $38.88	Professional		$9.72	$9.72	$38.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.02 / $37.42 / $54.79	Facility		$34.02	$37.42	$54.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $21.87 / $90.00	Professional		$8.75	$21.87	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $7.71 / $34.02	Facility		$7.71	$7.71	$34.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $9.72 / $10.98	Professional		$8.75	$9.72	$10.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $19.44 / $20.98	Professional		$5.34	$19.44	$20.98