Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $82.62 / $226.64	Facility		$22.92	$82.62	$226.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $15.90 / $40.50	Professional		$14.11	$15.90	$40.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $33.40 / $33.40	Facility		$33.40	$33.40	$33.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $13.63 / $17.04	Professional		$8.89	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Facility		$10.54	$10.54	$10.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $48.36	Professional		$12.09	$12.09	$48.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $46.55 / $77.97	Facility		$42.32	$46.55	$77.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $27.20 / $143.75	Professional		$10.88	$27.20	$143.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.54 / $42.32	Facility		$10.54	$10.54	$42.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $17.46	Professional		$12.09	$12.09	$17.46
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $24.18 / $29.84	Professional		$7.60	$24.18	$29.84