Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $69.14 / $940.78	Facility		$21.86	$69.14	$940.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $17.48 / $21.86	Professional		$4.79	$17.48	$21.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $14.41 / $14.41	Facility		$14.41	$14.41	$14.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $5.78 / $7.23	Professional		$3.81	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Facility		$4.55	$4.55	$4.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $5.22 / $20.88	Professional		$5.22	$5.22	$20.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $20.10 / $33.65	Facility		$18.27	$20.10	$33.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $11.75 / $56.25	Professional		$4.70	$11.75	$56.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $18.27	Facility		$4.55	$4.55	$18.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $5.22 / $7.54	Professional		$5.22	$5.22	$7.54
United Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $10.44 / $15.75	Professional		$3.29	$10.44	$15.75