Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $91.20 / $575.44	Facility		$50.12	$91.20	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $25.12	Professional		$6.03	$7.08	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.12 / $11.48	Professional		$5.62	$9.12	$11.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $52.48	Facility		$6.76	$6.76	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $30.90	Professional		$7.76	$7.76	$30.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $29.51 / $50.12	Facility		$26.92	$29.51	$50.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $17.38	Professional		$14.45	$17.38	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.76 / $10.00	Professional		$5.62	$7.76	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $15.49 / $23.44	Professional		$4.90	$15.49	$23.44