Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $111.22 / $267.05	Facility		$24.96	$111.22	$267.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.89 / $20.13	Professional		$7.00	$7.89	$20.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $16.62	Facility		$16.62	$16.62	$16.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $7.02 / $8.77	Professional		$4.36	$7.02	$8.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $5.23 / $51.24	Facility		$5.23	$5.23	$51.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.01 / $24.04	Professional		$6.01	$6.01	$24.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.04 / $23.14 / $38.72	Facility		$21.04	$23.14	$38.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $13.52 / $80.75	Professional		$5.41	$13.52	$80.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $5.23 / $21.04	Facility		$5.23	$5.23	$21.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.76 / $8.67	Professional		$6.00	$7.76	$8.67
United Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $12.02 / $18.13	Professional		$3.77	$12.02	$18.13